Individual
DR. SANDRA LYNN GRIFFIN BANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6633
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(229) 400-1567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002721
GA
Other
Enumeration date
08/09/2012
Last updated
06/10/2024
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