Organization
COLQUITT OPTICAL HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL STRICKLAND HILL LDO (LICENSED DISPENSING OPTICIAN/ OWNER)
(229) 891-0525
Entity
Organization
Contact information
Practice address
22 1ST AVE SE, MOULTRIE, GA 31768-4750
(229) 890-2466
Mailing address
22 1ST AVE SE, MOULTRIE, GA 31768-4750
(229) 890-2466
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
GA805
GA
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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