Individual
JOSE MATIAS ARENCIBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
344 S MAIN ST, HIAWASSEE, GA 30546
(706) 896-3303
(706) 896-9485
Mailing address
344 S MAIN ST, HIAWASSEE, GA 30546
(706) 896-3303
(706) 896-9485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000442043C
—
GA
Enumeration date
02/14/2006
Last updated
08/06/2010
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