Individual
STEVEN JOHN BOEYINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1109 S PARK STREET, CARROLLTON, GA 30117
(770) 830-0072
(770) 214-1423
Mailing address
1109 S PARK STREET, CARROLLTON, GA 30117
(770) 830-0072
(770) 214-1423
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001547
GA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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