Organization
AT HOME EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE CECELIA FERRELL OD (OWNER)
(504) 554-1111
Entity
Organization
Contact information
Practice address
4147 GINGER TRL, VALDOSTA, GA 31602-7616
(504) 554-1111
Mailing address
4147 GINGER TRL, VALDOSTA, GA 31602-7616
(504) 554-1111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002615
GA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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