Organization
MOUNTAIN EYE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD G JABALEY O.D. (OPTOMETRIST/OWNER)
(706) 864-8635
Entity
Organization
Contact information
Practice address
431 GROVE ST N, SUITE C, DAHLONEGA, GA 30533-0437
(706) 864-8635
(706) 864-2441
Mailing address
431 GROVE ST N, SUITE C, DAHLONEGA, GA 30533-0437
(706) 864-8635
(706) 864-2441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000712269A
—
GA
Enumeration date
06/06/2008
Last updated
02/27/2013
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