Organization
EYE SITE OF BUFORD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND D RUPURED JR. (C FO)
(770) 932-9656
Entity
Organization
Contact information
Practice address
4420 NELSON BROGDON BLVD, BUFORD, GA 30518-3477
(770) 932-9656
(770) 932-6606
Mailing address
4420 NELSON BROGDON BLVD, BUFORD, GA 30518-3477
(770) 932-9656
(770) 932-6606
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
GA1214
GA
Other
Enumeration date
08/16/2005
Last updated
06/17/2008
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