NPI | 1821420290 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAHANN R VAUGHN Managed Care Coordinator 770-822-3600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2013-08-07 |
Last Update Date | 2013-08-07 |