Individual
DR. JUSTINE BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3393 PEACHTREE RD NE STE B128, ATLANTA, GA 30326-1197
(770) 727-0772
Mailing address
361 PHARR RD NE UNIT 212, ATLANTA, GA 30305-3461
(662) 889-8952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003167
GA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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