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1649504424
EYE SHOP, P.C.
ATLANTA, GA
NPI
1649504424
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Entity Type
Organization
Authorized Contact
DREW PROVOST
President
678-525-6737
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: GA OPT 002244)
Enumeration Date
2009-09-25
Last Update Date
2009-09-25
Business Address
EYE SHOP, P.C.
3621 VININGS SLOPE SE SUITE 4150
ATLANTA, GA 30339-4107
Phone number: 678-525-6737
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Mailing Address
EYE SHOP, P.C.
400 W PEACHTREE ST NW UNIT 2315
ATLANTA, GA 30308-3536
Phone number: 678-525-6737
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