Larry R. Brown, O.d., Pc

NPI 1225174980 - Optometrist - 152W00000X

NPI Details
NPI 1225174980
Enumeration Date 01/29/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY RAY LARRY
Position PRESIDENT
Phone (770) 386-9022
Fax
Practice Location
101 MARKET PLACE BLVD
CARTERSVILLE GA, 30121-2236, US
Phone (770) 386-9022
Fax
Business Location
312 HILLSIDE DR # 1235
WALESKA GA, 30183-4220, US
Phone (770) 386-9022
Fax (770) 382-3188
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 1436
Remove 1225174980 NPI Number
 

According to our database, Larry R. Brown, O.d., Pc NPI is 1225174980, taxonomy code is 152W00000X and license number is 1436, license state is located at Georgia. Larry R. Brown, O.d., Pc physically located at 101 Market Place Blvd, Cartersville GA, 30121-2236. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1225174980 NPI number is provided on an as is basis without warranty of any kind. 1225174980 is maintained by the National Plan & Provider Enumeration System. The contents of Larry R. Brown, O.d., Pc are for informational purposes only.