Individual
DR. CARLA JEAN MACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
338 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 292-2020
Mailing address
438 WOOTEN CT S, POWELL, OH 43065-7420
(614) 431-2160
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4662
OH
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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