ROBERT L ELWELLJR OD PC

TUCKER, GA
NPI1891766952
Entity TypeOrganization
Authorized ContactROBERT L ELWELL
President
770-934-0337
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: GA  OPT000809)
Enumeration Date2006-01-27
Last Update Date2007-11-01
Business Address
ROBERT L ELWELLJR OD PC
2256 NORTHLAKE PKWY #205
TUCKER, GA 30084-4004
Phone number: 770-934-0337
Mailing Address
ROBERT L ELWELLJR OD PC
2256 NORTHLAKE PKWY #205
TUCKER, GA 30084-4034
Phone number: 770-934-0337
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