| NPI | 1841383122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM BALDWIN President 770-233-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA 819T) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2008-08-27 |