Individual
DR. SANDER SOL DORFZAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
850 OLD PIEDMONT RD, MARIETTA, GA 30066-5490
(770) 422-3677
(770) 422-5814
Mailing address
850 OLD PIEDMONT RD, MARIETTA, GA 30066-5490
(770) 422-3677
(770) 422-5814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00082607A
—
GA
01
—
0866240001
MEDICARE DURABLE GOODS
GA
01
—
580000223
RAILROAD MEDICARE
GA
Enumeration date
03/02/2007
Last updated
12/10/2024
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