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Organization
PROFESSIONAL EYE ASSOCIATE
Active
Organization
PROFESSIONAL EYE ASSOCIATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA D CURD (COO)
(706) 226-2020
Entity
Organization
Contact information
Practice address
772 MADDOX DR, SUITE 132, EAST ELLIJAY, GA 30540-8194
(706) 276-4455
(706) 276-4458
Mailing address
1111 PROFESSIONAL BLVD, DALTON, GA 30720
(706) 226-2020
(706) 217-2876
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
12/05/2008
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