Individual
FARREL LEE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.O., NCLEC, ABOC
Contact information
Practice address
1401 GRAY HWY, MACON, GA 31211-1905
(478) 755-1295
(478) 755-9876
Mailing address
PO BOX 402, MACON, GA 31202-0402
(478) 318-8922
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2038
GA
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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