Individual
DR. BRITTANY MARIE MOATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1250 SCENIC HWY STE 1700, LAWRENCEVILLE, GA 30045-7823
(783) 812-0206
(678) 381-2015
Mailing address
1300 PEACHTREE INDUSTRIAL BLVD STE 1201, SUWANEE, GA 30024-4550
(678) 381-2020
(678) 381-2015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003108
GA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/09/2018
Last updated
07/22/2019
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