Individual
MS. SOPHIA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
135 WILLOW LN, MCDONOUGH, GA 30253-6574
(678) 432-3093
Mailing address
45 CORNUS DR, COVINGTON, GA 30016-6501
(718) 715-6061
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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