Individual
ROURGER LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5615 MEMORIAL DR STE G, STONE MOUNTAIN, GA 30083-3256
(404) 299-8180
(404) 299-8147
Mailing address
5615 MEMORIAL DR STE G, STONE MOUNTAIN, GA 30083-3256
(404) 299-8180
(404) 299-8147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001721
GA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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