Organization
CALHOUN EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINGER R WORDE LDO (OPTICIAN)
(706) 629-8266
Entity
Organization
Contact information
Practice address
100 S COURT ST, CALHOUN, GA 30701-2296
(706) 629-8266
(706) 629-8267
Mailing address
100 S COURT ST, CALHOUN, GA 30701-2296
(706) 629-8266
(706) 629-8267
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO000772
GA
332H00000X
Eyewear Supplier
LDO000772
GA
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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