PROVOST EYE GROUP, P.C.

ATLANTA, GA
NPI1861507261
Entity TypeOrganization
Authorized ContactDREW ALEX PROVOST
President
770-431-1713
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: GA  OPT002244)
Enumeration Date2006-08-19
Last Update Date2007-07-26
Business Address
PROVOST EYE GROUP, P.C.
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339
Phone number: 770-431-1713
Mailing Address
PROVOST EYE GROUP, P.C.
2900 CUMBERLAND MALL SE
ATLANTA, GA 30339
Phone number: 770-431-1713
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