Organization
GEORGIA OPTOMETRY GROUP ASSOC. P.C.
Active
Other names
Georgia Optometry Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY T PENCE (PRESIDENT)
(770) 394-2110
Entity
Organization
Contact information
Practice address
4480A CHAMBLEE DUNWOODY ROAD, DUNWOODY, GA 30338
(770) 394-2110
(770) 394-5630
Mailing address
4480A CHAMBLEE DUNWOODY ROAD, DUNWOODY, GA 30338
(770) 394-2110
(770) 394-5630
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP7409
GROUP I.D. NUMBER
GA
Enumeration date
11/29/2006
Last updated
10/14/2010
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