NPI | 1770770539 |
---|---|
Doing Business As | COWETA EYE CARE |
Entity Type | Organization |
Authorized Contact | GRANT PAUL MACDONALD Optometrist/Partner 770-254-9996 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA 1560) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2008-03-05 |