Organization
TEGA OPHTHALMIC HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODWIN I EKEKHOMEN (OD/CEO)
(770) 939-7576
Entity
Organization
Contact information
Practice address
4375 LAWRENCEVILLE HWY, TUCKER, GA 30084-3702
(770) 939-7576
Mailing address
2205 OAKLAND SPRING DR, SNELLVILLE, GA 30039-7956
(770) 939-7576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPTO02372
GA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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