Organization
GLORIA LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA ANN LEE OPTICIAN (OWNER/OPTICIAN)
(706) 965-2020
Entity
Organization
Contact information
Practice address
192 LAFAYETTE ST, RINGGOLD, GA 30736-2431
(706) 965-2020
(706) 965-2020
Mailing address
192 LAFAYETTE ST, RINGGOLD, GA 30736-2431
(706) 965-2020
(706) 965-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO000851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436313544B
—
GA
Enumeration date
03/27/2007
Last updated
10/06/2016
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