Individual
DR. CHARLES RAY POPHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
206 MAIN ST, CEDARTOWN, GA 30125-3040
(770) 748-2443
(770) 748-8885
Mailing address
206 MAIN ST, CEDARTOWN, GA 30125-3040
(770) 748-2443
(770) 748-8885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
864
GA
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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