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5377 Highway 136, Trenton, GA 30752-2900 | |
(706) 657-7559 | |
(706) 657-3937 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 5377 Highway 136, Trenton, 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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1336432251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 1300 (Tennessee) | Primary |
Provider Name | Denis L Mcdonald |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164435954 PECOS PAC ID: 4880601715 Enrollment ID: I20060316000512 |
Mailing Address | Practice Location Address |
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Po Box 156, Trenton, GA 30752-0156 Ph: (706) 657-7559 | 5377 Highway 136, Trenton, GA 30752-2900 Ph: (706) 657-7559 |
Alvan Leon Graham Jr., Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5377 Highway 136, Trenton, GA 30752 Phone: 706-657-7559 Fax: 706-657-3937 | |
Dr. Denis L Mcdonald, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5377 Hwy 136, Trenton, GA 30752 Phone: 706-657-7559 Fax: 706-657-3937 |