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Individual

AMY WINSLETTE MURRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3801 NORTHSIDE DR, MACON, GA 31210-2418
(478) 475-1600
Mailing address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5965

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1909
SC
152W00000X
Optometrist
Primary
OPT1862
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000883451A
GA
Enumeration date
01/12/2007
Last updated
03/17/2018
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