Individual
DR. GARY THOMAS PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4651 CHAMBLEE DUNWOODY RD, SUITE A, ATLANTA, GA 30338-6339
(770) 394-2110
Mailing address
4045 SPINNAKER DR, DULUTH, GA 30096-5264
(770) 623-9370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1290-T
GA
Other
Enumeration date
12/26/2006
Last updated
07/09/2007
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