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Organization

OLIVE EYECARE INC

Active
Other names
Olive Eyecare INC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIFFANY D BROWN (OPTOMETRIST)
(225) 747-7597
Entity
Organization

Contact information

Practice address
2427 GRESHAM RD SE, ATLANTA, GA 30316-3709
(770) 743-6971
Mailing address
4480H S COBB DR SE STE 124, SMYRNA, GA 30080-6958
(770) 743-6971

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003126245A
GA
Enumeration date
05/06/2021
Last updated
05/11/2021
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