DOUGLAS WILLIAM ELLENBERGER

AUGUSTA, GA
NPI1841588555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: GA  opt002659)
Enumeration Date2011-07-14
Last Update Date2016-03-14
Business Address
-- DOUGLAS WILLIAM ELLENBERGER OD
1330 INTERSTATE PKWY
AUGUSTA, GA 30909-5625
Phone number: 706-651-2020
Mailing Address
-- DOUGLAS WILLIAM ELLENBERGER OD
1330 INTERSTATE PKWY
AUGUSTA, GA 30909-5625
Phone number: 706-651-2020
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