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Individual

DR. PEGGY ACHENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2215 MEMORIAL DR, WAYCROSS, GA 31501
(912) 285-2021
(912) 285-2558
Mailing address
55 SPARTA AVE, SPARTA, NJ 07871-1815
(973) 729-3839
(973) 726-0651

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OA00005411
NJ
152W00000X
Optometrist
Primary
OPT003079
GA
152WC0802X
Corneal and Contact Management Optometrist
OA00005411
NJ
152WP0200X
Pediatric Optometrist
OA00005411
NJ

Other

Enumeration date
01/23/2006
Last updated
07/16/2018
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