Organization
PULLIAM OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE H PULLIAM LDO (OWNER)
(770) 787-7000
Entity
Organization
Contact information
Practice address
4167 HOSPITAL DRIVE, COVINGTON, GA 30014-0469
(770) 787-7000
(770) 385-0813
Mailing address
4167 HOSPITAL DR NE, COVINGTON, GA 30014-2565
(770) 787-7000
(770) 385-0813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
04/21/2010
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