Individual
MRS. CHERYL DAWN WILKINS GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
855 N CHURCH ST, THOMASTON, GA 30286-3622
(706) 648-9130
Mailing address
109 A ST, THOMASTON, GA 30286-3127
(706) 656-6774
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
LDO001761
GA
156FC0801X
Contact Lens Fitter
LDO001761
GA
156FX1800X
Optician
Primary
LDO001761
GA
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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