Organization
OPTICAL ASSOCIATES OF SOUTH GA LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD D COURTENAY OD (DIRECTOR)
(229) 247-4114
Entity
Organization
Contact information
Practice address
3024 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 247-4114
(229) 245-9042
Mailing address
3024 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 247-4114
(229) 245-9042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT0001045
GA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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