Individual
PATRICK CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
TOWN CENTER EYE CARE, 400 BARRETT PARKWAY, SUITE 297, KENNESAW, GA 30144-4958
(770) 421-1734
Mailing address
3370 BRYANT LANE, MARIETTA, GA 30066-4610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001730
GA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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