Organization
GWINNETT EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E PITTS (MGN)
(770) 476-3606
Entity
Organization
Contact information
Practice address
3455 PEACHTREE INDUSTRIAL BLVD, SUITE 845, DULUTH, GA 30096-6501
(770) 476-3606
(770) 476-2818
Mailing address
3455 PEACHTREE INDUSTRIAL BLVD, SUITE 845, DULUTH, GA 30096-6501
(770) 476-3606
(770) 476-2818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000841
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00147672C
—
GA
Enumeration date
03/22/2007
Last updated
02/25/2009
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