| NPI | 1992082945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ALFRED Lab Manager 770-719-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: GA 1621) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |