Individual
MR. TERRY WILLIAM BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.D.O.
Contact information
Practice address
3280 HOWELL MILL RD NW, SUITE 130 WEST WING, ATLANTA, GA 30327-4111
(404) 355-5555
Mailing address
3280 HOWELL MILL RD NW, SUITE 130 WEST WING, ATLANTA, GA 30327-4111
(404) 355-5555
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO001473
GA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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