Individual
DR. KENNETH MARTIN BOXER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2370 N DRUID HILLS RD NE, ATLANTA, GA 30329-3105
(404) 321-2030
Mailing address
2370 N DRUID HILLS RD NE, ATLANTA, GA 30329-3105
(404) 321-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA1183
GA
Other
Enumeration date
03/17/2007
Last updated
10/25/2012
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