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Organization

XPERIENCE DREVAGEE

Active
Other names
drevagee optical boutique
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY KNOWLIN (CEO)
(678) 522-1093
Entity
Organization

Contact information

Practice address
5745 WENDY BAGWELL PKWY STE 32, HIRAM, GA 30141-2885
(678) 522-1093
Mailing address
2451 CUMBERLAND PKWY SE STE 3809, ATLANTA, GA 30339-6136
(678) 522-1093

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
06/02/2023
Last updated
06/02/2023
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