Organization
SUPERIOR EYECARE AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIQUE R PAYNE OD (OD)
(917) 250-4468
Entity
Organization
Contact information
Practice address
125 PAVILION PKWY, FAYETTEVILLE, GA 30214-4098
(470) 301-5657
Mailing address
125 PAVILION PKWY, FAYETTEVILLE, GA 30214-4098
(470) 301-5657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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