Individual
ZACKERY LUDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1601 HARMON AVE, FORT STEWART, GA 31314
(402) 214-3447
Mailing address
1601 HARMON AVE, FORT STEWART, GA 31314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3961161
ID
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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