Alicia Havens O.D.

NPI 1437566155 - Optometrist - 152W00000X

NPI Details
NPI 1437566155
Gender Female
Enumeration Date 07/15/2014
Last Updated 07/15/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
5505 PEACHTREE DUNWOODY
SUITE 300
ATLANTA GA, 30342-1705, US
Phone (404) 257-0814
Fax
Business Location
5505 PEACHTREE DUNWOODY
SUITE 300
ATLANTA GA, 30342-1705, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number OPT002825
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According to our database, Ms. Alicia Havens O.D. NPI is 1437566155, taxonomy code is 152W00000X and license number is OPT002825, license state is located at Georgia. Alicia Havens O.D. physically located at 5505 Peachtree Dunwoody, Atlanta GA, 30342-1705. NPI Number Alicia Havens O.D. has the Individual type.

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1437566155 NPI number is provided on an as is basis without warranty of any kind. 1437566155 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Havens O.D. are for informational purposes only.