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4375 Jonesboro Road, Union City, GA 30291 | |
(770) 969-6576 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 4375 Jonesboro Road, Union City, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1841220944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPT002179 (Georgia) | Primary |
Provider Name | Fred O Osayi |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861439119 PECOS PAC ID: 8022037183 Enrollment ID: I20051123000075 |
Mailing Address | Practice Location Address |
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1286 Oak Knoll Ct, Lithonia, GA 30058-3091 Ph: (404) 808-6539 | 4375 Jonesboro Road, Union City, GA 30291 Ph: (770) 969-6576 |
Monique Batchelor, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 4735 Jonesboro Rd, Union City, GA 30291 Phone: 770-969-5976 Fax: 770-969-6140 |