Individual
DR. BRANDY CARROLL AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
895 CANTON RD NE, #100, MARIETTA, GA 30060-8934
(770) 427-8111
Mailing address
3427 RIVER HEIGHTS XING SE, MARIETTA, GA 30067-4892
(678) 654-6440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2421
GA
Other
Enumeration date
01/18/2007
Last updated
12/06/2011
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