NPI | 1780859579 |
---|---|
Doing Business As | MCDONOUGH FAMILY EYECARE |
Entity Type | Organization |
Authorized Contact | SCOT M WERNER President 770-898-7078 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA opt001919) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2010-10-07 |