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Organization

MARVIN HOWELL, OD AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARVIN HOWELL OD (OWNER)
(770) 961-2020
Entity
Organization

Contact information

Practice address
4101 ROSWELL RD, MARIETTA, GA 30062-6293
(770) 565-3970
Mailing address
4101 ROSWELL RD, MARIETTA, GA 30062-6293
(770) 565-3970

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2629
GA
152WC0802X
Corneal and Contact Management Optometrist
2629
GA
152WP0200X
Pediatric Optometrist
2629
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003125145C
GA
Enumeration date
09/29/2016
Last updated
11/17/2016
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