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Organization

KELLER CRYMES & DEMARCO LLC

Active
Other names
Keller Optical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WALTER AUGUSTUS SAMS IV MD (PHYSICIAN)
(706) 549-9993
Entity
Organization

Contact information

Practice address
105 TRINITY PL., ATHENS, GA 30607-2112
(706) 549-9993
(706) 549-4047
Mailing address
105 TRINITY PLACE, ATHENS, GA 30607-2112
(706) 549-9993
(706) 549-4047

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332H00000X
Eyewear Supplier
Primary
BT-085849
GA

Other

Enumeration date
05/03/2007
Last updated
08/25/2025
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