Individual
ROBERT HOUGHTELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 GA HIGHWAY 40 E STE N, KINGSLAND, GA 31548-6501
(912) 729-8300
Mailing address
1601 GA HIGHWAY 40 E STE N, KINGSLAND, GA 31548-6501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA001500
GA
Other
Enumeration date
12/04/2006
Last updated
07/09/2007
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