Organization
R J ROWE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY J ROWE O.D. (DOCTOR)
(229) 890-8016
Entity
Organization
Contact information
Practice address
104 N MADISON ST, QUITMAN, GA 31643-2012
(229) 263-8851
(229) 263-7417
Mailing address
PO BOX 288, QUITMAN, GA 31643-0288
(229) 263-8851
(229) 263-7417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1026
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274293A
—
GA
Enumeration date
07/17/2008
Last updated
09/08/2015
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