Individual
AMY LEIGHANN KURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
591 E MAIN ST, CANTON, GA 30114-2801
(770) 479-4481
(770) 479-8932
Mailing address
591 E MAIN ST, CANTON, GA 30114-2801
(770) 479-4481
(770) 479-8932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1928
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000958559A
—
GA
Enumeration date
05/01/2006
Last updated
02/06/2014
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