| NPI | 1821124827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL STANLEY BROWN Secretary 706-882-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA 000336) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-03-28 |