Individual
ANNE-MARIE E KONSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5611
(912) 435-6933
(912) 435-5966
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5611
(912) 435-6933
(912) 435-5966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6937T
TX
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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