Individual
CHARLES J PATORGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3225 CUMBERLAND BLVD SE, SUITE 900, ATLANTA, GA 30339-6407
(404) 351-2220
(404) 355-5624
Mailing address
3225 CUMBERLAND BLVD SE, SUITE 900, ATLANTA, GA 30339-6407
(404) 351-2220
(404) 355-5624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000961
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000521111A
—
GA
Enumeration date
04/12/2006
Last updated
03/12/2009
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