Individual
DR. GARY C DUEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3405 DALLAS HWY SW, SUITE 405, MARIETTA, GA 30064-6426
(770) 420-9877
(770) 420-9898
Mailing address
3405 DALLAS HWY SW, SUITE 405, MARIETTA, GA 30064-6426
(770) 420-9877
(770) 420-9898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001420
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52576494
BLUE CROSS/BLUE SHIELD
GA
05
—
760646583A
—
GA
Enumeration date
07/14/2005
Last updated
10/30/2013
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