TYLER WILLIAM ELLSWORTH

LITHONIA, GA
NPI1760034110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: GA  OPT003180)
Enumeration Date2019-07-15
Last Update Date2019-07-15
Business Address
Dr. TYLER WILLIAM ELLSWORTH OD
8075 MALL PKWY STE 103
LITHONIA, GA 30038-6993
Phone number: 770-484-2955
Mailing Address
Dr. TYLER WILLIAM ELLSWORTH OD
8075 MALL PKWY STE 103
LITHONIA, GA 30038-6993
Phone number: 770-484-2955