Individual
JANICE ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
42 CARTER AVE, ROME, GA 30165
(706) 383-8510
Mailing address
42 CARTER AVE, ROME, GA 30165
(706) 383-8510
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002009
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LDO002009
LICENSED DISPENSING OPTICIAN
GA
Enumeration date
11/25/2022
Last updated
12/05/2022
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