Organization
BROCK GARRETT O.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEWTON BROCK GARRETT O.D. (OWNER)
(770) 534-5305
Entity
Organization
Contact information
Practice address
4008 MUNDY MILL RD, OAKWOOD, GA 30566-2807
(770) 534-5305
(770) 536-5141
Mailing address
4008 MUNDY MILL RD, OAKWOOD, GA 30566-2807
(770) 534-5305
(770) 536-5141
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPT000696
GA
Other
Enumeration date
02/05/2008
Last updated
05/08/2012
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