Individual
THOMAS EDWARD WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
855 N CHURCH ST, THOMASTON, GA 30286-3622
(706) 648-9130
Mailing address
116 DEER CHASE RD, THOMASTON, GA 30286-2744
(706) 975-8180
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
LDO000306
GA
156FC0801X
Contact Lens Fitter
LDO000306
GA
156FX1800X
Optician
Primary
LDO000306
GA
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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