Cousins Eye Care, P.c.

NPI 1144517905 - Optometrist - 152W00000X

NPI Details
NPI 1144517905
Enumeration Date 06/30/2011
Last Updated 06/30/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JENNIFER MARIE JENNIFER
Position PRESIDENT
Phone (706) 342-8018
Fax (706) 342-8015
Practice Location
1681 EATONTON RD
MADISON GA, 30650-4632, US
Phone (706) 342-8018
Fax (706) 342-8015
Business Location
1020 WHISPERING LAKES TRL
MADISON GA, 30650-6326, US
Phone (706) 343-1403
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 002288
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According to our database, Cousins Eye Care, P.c. NPI is 1144517905, taxonomy code is 152W00000X and license number is 002288, license state is located at Georgia. Cousins Eye Care, P.c. physically located at 1681 Eatonton Rd, Madison GA, 30650-4632. NPI Number 1033115704 has the healthcare provider type.

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1144517905 NPI number is provided on an as is basis without warranty of any kind. 1144517905 is maintained by the National Plan & Provider Enumeration System. The contents of Cousins Eye Care, P.c. are for informational purposes only.