Individual
DR. ANDRE TERRELL LENOIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2788 BAYARD ST, EAST POINT, GA 30344-3441
(770) 593-0046
(770) 808-2787
Mailing address
2788 BAYARD ST, EAST POINT, GA 30344-3441
(770) 593-0046
(770) 808-2787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2176
GA
152WP0200X
Pediatric Optometrist
2176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69118107A
—
GA
Enumeration date
01/16/2007
Last updated
09/08/2016
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