Individual
DR. JOEL P. YAGODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
101 MARKET PLACE BLVD, CARTERSVILLE, GA 30121-2236
(770) 386-9022
Mailing address
PO BOX 226, WOODSTOCK, GA 30188-0226
(678) 643-8945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1000T
GA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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