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Individual

RICHARD CHARLES SCHLIEVERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2275 MARIETTA BLVD NW # 270-314, ATLANTA, GA 30318-2004
(678) 438-5612
(678) 623-3633
Mailing address
2275 MARIETTA BLVD NW STE 270-314, ATLANTA, GA 30318-2004
(678) 438-5612
(678) 623-3633

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002529
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
611719687A
GA
Enumeration date
05/27/2009
Last updated
04/08/2022
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