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Individual

DR. DAVID A ALTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O. D.

Contact information

Practice address
119 W PINE ST, MCRAE, GA 31055-1668
(229) 868-6312
(229) 868-5330
Mailing address
119 W PINE ST, MCRAE, GA 31055-1668
(229) 868-6312
(229) 868-5330

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
873
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00378463A
GA
05
39404
GA
Enumeration date
02/12/2007
Last updated
07/09/2007
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