Northeast Georgia Vision Care Llc

NPI 1487641858 - Optometrist - 152W00000X

NPI Details
NPI 1487641858
Enumeration Date 09/30/2005
Last Updated 12/05/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name HOLTON S HOLTON
Position PRESIDENT
Phone (706) 776-6311
Fax (706) 776-7243
Practice Location
118 VISION DR
CORNELIA GA, 30531-5737, US
Phone (706) 776-6311
Fax (706) 776-7243
Business Location
118 VISION DR
CORNELIA GA, 30531-5737, US
Phone (706) 776-6311
Fax (706) 776-7243
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 1106
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According to our database, Northeast Georgia Vision Care Llc NPI is 1487641858, taxonomy code is 152W00000X and license number is 1106, license state is located at Georgia. Northeast Georgia Vision Care Llc physically located at 118 Vision Dr, Cornelia GA, 30531-5737. NPI Number 1033115704 has the healthcare provider type.

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1487641858 NPI number is provided on an as is basis without warranty of any kind. 1487641858 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Georgia Vision Care Llc are for informational purposes only.