Individual
DRAKE ROBERT DEVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4450 CALIBRE XING NW STE 1104, ACWORTH, GA 30101-4104
(678) 279-1141
Mailing address
895 CANTON RD NE BLDG 100, MARIETTA, GA 30060-8935
(941) 725-1350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC5421
FL
152W00000X
Optometrist
Primary
OPT003083
GA
152W00000X
Optometrist
TUV008589
NY
Other
Enumeration date
06/18/2017
Last updated
06/16/2022
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