Organization
SENIOR SPECIALTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S DICKINSON OD (PRESIDENT)
(404) 218-4912
Entity
Organization
Contact information
Practice address
13190 OWENS WAY, ALPHARETTA, GA 30004-7357
(404) 218-4912
(770) 872-7463
Mailing address
13190 OWENS WAY, ALPHARETTA, GA 30004-7357
(404) 218-4912
(770) 872-7463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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