| NPI | 1912395567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAHANN VAUGHN Managed Care Sales COO Rdinator 470-448-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |