Organization
JOE H. DEW, O. D. P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE H DEW O. D. (OWNER)
(770) 267-2573
Entity
Organization
Contact information
Practice address
428 W HIGHLAND AVE, MONROE, GA 30655-1908
(770) 267-2573
(770) 267-6751
Mailing address
PO BOX 788, MONROE, GA 30655-0788
(770) 267-2573
(770) 267-6751
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
654T
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000003726A
—
GA
Enumeration date
04/15/2009
Last updated
04/15/2009
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