Paces West Opticians Incorporated

NPI 1033246533 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1033246533
Enumeration Date 02/28/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CLIFFORD WAYNE CLIFFORD
Position PRESIDENT
Phone (770) 938-6690
Fax (770) 938-6690
Practice Location
2200 NORTHLAKE PKWY
SUITE 150
TUCKER GA, 30084-4022, US
Phone (770) 938-6690
Fax (770) 938-6690
Business Location
3179 MAPLE DR NE
SUITE #2
ATLANTA GA, 30305-2520, US
Phone (404) 233-6993
Fax (404) 233-4808
Toxanomy
Taxonomy Code 156FX1800X
License State Georgia
License Number 222
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According to our database, Paces West Opticians Incorporated NPI is 1033246533, taxonomy code is 156FX1800X and license number is 222, license state is located at Georgia. Paces West Opticians Incorporated physically located at 2200 Northlake Pkwy, Tucker GA, 30084-4022. NPI Number 1033115704 has the healthcare provider type.

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1033246533 NPI number is provided on an as is basis without warranty of any kind. 1033246533 is maintained by the National Plan & Provider Enumeration System. The contents of Paces West Opticians Incorporated are for informational purposes only.