Individual
STEPHEN MAMMOOTTIL JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3960 SHALLOWFORD RD, #A, MARIETTA, GA 30062-5058
(770) 642-4001
Mailing address
3960 SHALLOWFORD RD, #A, MARIETTA, GA 30062-5058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2580
GA
152W00000X
Optometrist
5872
OH
Other
Enumeration date
07/15/2009
Last updated
03/08/2011
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