Humberto C. Fallas O.D.

NPI 1093926495 - Optometrist - 152W00000X

NPI Details
NPI 1093926495
Gender Male
Enumeration Date 05/25/2007
Last Updated 03/02/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1415 HIGHWAY 20 W
MCDONOUGH GA, 30253-7306, US
Phone (770) 954-9898
Fax (770) 954-9147
Business Location
1415 HIGHWAY 20 W
MCDONOUGH GA, 30253-7306, US
Phone (770) 954-9898
Fax (770) 954-9147
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number OD00003708
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According to our database, Dr. Humberto C. Fallas O.D. NPI is 1093926495, taxonomy code is 152W00000X and license number is OD00003708, license state is located at Washington. Humberto C. Fallas O.D. physically located at 1415 Highway 20 W, Mcdonough GA, 30253-7306. NPI Number Humberto C. Fallas O.D. has the Individual type.

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1093926495 NPI number is provided on an as is basis without warranty of any kind. 1093926495 is maintained by the National Plan & Provider Enumeration System. The contents of Humberto C. Fallas O.D. are for informational purposes only.