| NPI | 1912195272 |
|---|---|
| Doing Business As | SOUTH FORSYTH/ALPHARETTA EYECARE |
| Entity Type | Organization |
| Authorized Contact | GREGORY WADE PAYNE Owner 770-232-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 1220) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2021-04-27 |