Individual
DR. HORACE E DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
214 SAVANNAH AVE, STATESBORO, GA 30458-5165
(912) 764-5609
(912) 764-7786
Mailing address
214 SAVANNAH AVE, STATESBORO, GA 30458-5165
(912) 764-5609
(912) 764-7786
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1603
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58-2560774
COMMERCIAL INSURANCE
GA
01
—
582560774
TRICARE
GA
Enumeration date
11/17/2005
Last updated
06/20/2012
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