Individual
KACY WHITING BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
360 NORTHSIDE DR E, STATESBORO, GA 30458-4839
(912) 764-9147
Mailing address
1000 TOWNE CENTER BLVD 502, POOLER, GA 31322-4068
(912) 748-1272
(912) 748-1996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002700
GA
Other
Enumeration date
06/28/2012
Last updated
09/24/2015
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