Individual
DR. REBECCA CHASTEEN SOSEBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4965 LANIER ISLANDS PKWY, SUITE 104, BUFORD, GA 30518-1700
(770) 932-9221
Mailing address
4965 LANIER ISLANDS PARKWEY, SUITE 104, BUFORD, GA 30518-1717
(770) 932-9221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA1851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464068057A
—
GA
01
—
855567
BLUE CROSS
GA
Enumeration date
06/03/2006
Last updated
04/02/2012
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