| NPI | 1730378290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS GAILMARD Office Manager 770-461-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 008747) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-03-20 |