Individual
LYN BROWN OXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
104 ANDREW ST STE 112, VIDALIA, GA 30474-7241
(912) 537-4447
(912) 537-2743
Mailing address
PO BOX 406, VIDALIA, GA 30475-0406
(912) 537-4447
(912) 537-2743
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003442801B
—
GA
Enumeration date
11/22/2006
Last updated
03/17/2018
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