| |
182 Perry House Rd, Suite G, Fitzgerald, GA 31750 | |
(229) 423-0481 | |
(229) 423-7463 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 182 Perry House Rd, Fitzgerald, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487677563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Georgia) | Secondary |
332H00000X | Eyewear Supplier | (Georgia) | Primary |
Mailing Address | Practice Location Address |
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216 Corder Rd, Warner Robins, GA 31088-3604 Ph: (478) 923-5872 | 182 Perry House Rd, Suite G, Fitzgerald, GA 31750 Ph: (229) 423-0481 |