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Organization

OPTICAL BOUTIQUE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD CARLIN MD (OWNER)
(770) 979-2020
Entity
Organization

Contact information

Practice address
2347 LENORA CHURCH RD, SNELLVILLE, GA 30078-3232
(770) 979-2020
Mailing address
2347 LENORA CHURCH RD, SNELLVILLE, GA 30078-3232
(770) 979-2020

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/11/2007
Last updated
01/28/2009
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