Individual
PAMELA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
440 ATLANTA HWY NW, WINDER, GA 30680-7826
(770) 868-5992
Mailing address
440 ATLANTA HWY NW, WINDER, GA 30680-7826
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO2326
GA
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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