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Organization

KENNETH G. SCHNEIDER, O.D.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH GEORGE SCHNEIDER O.D. (PRESIDENT)
(706) 886-2120
Entity
Organization

Contact information

Practice address
72 FALLS RD, TOCCOA, GA 30577-1653
(706) 886-2120
(706) 886-2646
Mailing address
72 FALLS RD, TOCCOA, GA 30577-1653
(706) 886-2120
(706) 886-2646

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
741
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00004562B
GA
01
0066145
CIGNA
GA
01
024288
BLUE CROSS BLUE SHIELD
GA
Enumeration date
10/23/2007
Last updated
07/26/2021
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