Organization
GEGE ODION OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEGE ODION OD (OWNER)
(770) 265-6450
Entity
Organization
Contact information
Practice address
4670 RIVERSOUND DR, SNELLVILLE, GA 30039-8540
(770) 265-6450
Mailing address
4670 RIVERSOUND DR, SNELLVILLE, GA 30039-8540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001402
GA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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