Organization
OPTICAL ASSOCIATES OF SOUTH GA LLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD D COURTENAY O.D. (MANAGING PARTNER)
(229) 247-4114
Entity
Organization
Contact information
Practice address
3024 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 247-4114
Mailing address
3024 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 247-4114
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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