Organization
DAVID FIERCE OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FIERCE OD (OWNER)
(770) 841-7339
Entity
Organization
Contact information
Practice address
415 CARL RIDGE DR NW, KENNESAW, GA 30152-5729
(770) 841-7339
Mailing address
415 CARL RIDGE DR NW, KENNESAW, GA 30152-5729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001237
GA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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