Individual
BRENTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 CORPORATE CENTER DR STE 100, MORROW, GA 30260-4106
(770) 968-8888
(770) 960-2473
Mailing address
1000 CORPORATE CENTER DR STE 100, MORROW, GA 30260-4106
(770) 968-8888
(770) 960-2473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002940
GA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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