Individual
GREG TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 SHORTER AVE NW, ROME, GA 30165-2018
(706) 291-7842
Mailing address
2110 SHORTER AVE NW, ROME, GA 30165-2018
(706) 291-7842
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO001046
GA
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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