| NPI Details | |
|---|---|
| NPI | 1073626149 |
| Enumeration Date | 08/15/2006 |
| Last Updated | 03/12/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | PAULA LYNN PAULA |
| Position | OWNER |
| Phone | (770) 963-0370 |
| Fax | (770) 682-3719 |
| Practice Location | |
|---|---|
| 875 LAWRENCEVILLE SUWANEE RD #560 LAWRENCEVILLE GA, 30043-8479, US |
|
| Phone | (770) 963-0370 |
| Fax | (770) 682-3719 |
| Business Location | |
|---|---|
| 875 LAWRENCEVILLE SUWANEE RD #560 LAWRENCEVILLE GA, 30043-8479, US |
|
| Phone | (770) 963-0370 |
| Fax | (770) 682-3719 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 156FX1800X |
| License State | Georgia |
| License Number | 1882 |
| Remove 1073626149 NPI Number | |
According to our database, Total Vision, Llc NPI is 1073626149, taxonomy code is 156FX1800X and license number is 1882, license state is located at Georgia. Total Vision, Llc physically located at 875 Lawrenceville Suwanee Rd, Lawrenceville GA, 30043-8479. NPI Number 1033115704 has the healthcare provider type.
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1073626149 NPI number is provided on an as is basis without warranty of any kind. 1073626149 is maintained by the National Plan & Provider Enumeration System. The contents of Total Vision, Llc are for informational purposes only.
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