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Individual

JOEL ROGOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4030 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-2820
(770) 806-8471
(404) 378-2681
Mailing address
1434 SCOTT BLVD, SUITE 2, DECATUR, GA 30030-1424
(404) 378-2622
(404) 378-2681

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001637
GA

Other

Enumeration date
03/01/2007
Last updated
07/08/2007
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