Individual
DR. ERIC TEAL KINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1137 CEDAR SHOALS DR, ATHENS, GA 30605-3592
(706) 353-2119
Mailing address
1137 CEDAR SHOALS DR, ATHENS, GA 30605-3592
(706) 353-2119
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
933
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234960001
MEDICARE DMERC
GA
Enumeration date
01/23/2006
Last updated
03/21/2008
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