Organization
WILDWOOD EYE CARE LLC
Active
Other names
Wildwood Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GROSSWALD OD (MANAGER)
(770) 952-6412
Entity
Organization
Contact information
Practice address
1545 POWERS FERRY RD, SUITE 240, MARIETTA, GA 30067-9412
(770) 952-6412
(770) 953-2738
Mailing address
1545 POWERS FERRY RD, SUITE 240, MARIETTA, GA 30067-9412
(770) 952-6412
(770) 953-2738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/22/2009
Last updated
08/01/2024
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