Individual
PATRICK K ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
120 GEORGIA AVE E, FAYETTEVILLE, GA 30214-1616
(770) 719-9500
Mailing address
120 GEORGIA AVE E, FAYETTEVILLE, GA 30214-1616
(770) 719-9500
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
083494
GA
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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