Organization
CHRISTIE EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUDLEY B CHRISTIE JR. OD (OWNER)
(478) 825-5581
Entity
Organization
Contact information
Practice address
902 KNOXVILLE ST, FORT VALLEY, GA 31030-3969
(478) 825-5581
Mailing address
198 HOUSTON LAKE RD, STE B, WARNER ROBINS, GA 31088-6473
(478) 971-1500
(478) 825-5581
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000731
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00055767G
—
GA
Enumeration date
09/16/2008
Last updated
09/16/2008
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