Individual
DAVID S GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
120 VISION DR, CORNELIA, GA 30531-5737
(706) 776-2025
(706) 778-4540
Mailing address
120 VISION DR, CORNELIA, GA 30531-5737
(706) 776-2025
(706) 778-4540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000982
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00361215B
—
GA
Enumeration date
03/02/2006
Last updated
08/28/2012
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