Individual
DOROTHY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1600 MALL OF GEORGIA BLVD STE 900, BUFORD, GA 30519-8746
(470) 633-2914
Mailing address
601 DOWNSBY LN APT 102, WOODSTOCK, GA 30189-6372
(770) 547-6488
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
022347
GA
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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