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Individual

DR. ROY E DOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD.

Contact information

Practice address
1115 S ELM ST, COMMERCE, GA 30529-2843
(706) 335-5139
(706) 335-9363
Mailing address
PO BOX 378, 1115 SOUTH ELM STREET, COMMERCE, GA 30529-0007
(706) 335-5139
(706) 335-9363

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1689
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00810389A
GA
01
1174693410
GROUP NPI NUMBER
GA
01
1245223890
DR.ROY E. DOSS NPI #
GA
01
GA1689
STATE LICENSE #
GA
Enumeration date
08/30/2005
Last updated
03/24/2010
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