Individual
GARY L HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DISPENSING OPTICIAN
Contact information
Practice address
5615 #G MEMORIAL DRIVE, STONE MOUNTAIN, GA 30083
(404) 299-8180
(404) 299-8147
Mailing address
5615 MEMORIAL DR STE G, STONE MOUNTAIN, GA 30083-3256
(404) 299-8180
(404) 299-8147
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO001995
GA
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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