Organization
CAUDELLE & WILSON EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WILSON OD (OPTOMETRIST/OWNER)
(770) 461-2144
Entity
Organization
Contact information
Practice address
320 N JEFF DAVIS DRIVE, SUITE A, FAYETTEVILLE, GA 30021
(770) 461-2144
(770) 461-5792
Mailing address
320 N JEFF DAVIS DR STE A, FAYETTEVILLE, GA 30214-1669
(770) 461-2144
(770) 461-5792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA800
GA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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