Individual
AGNES ADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
373 WESTWATER RDG, SUGAR HILL, GA 30518-5697
(770) 598-7512
Mailing address
373 WESTWATER RDG, SUGAR HILL, GA 30518-5697
(770) 598-7512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001522
GA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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