Individual
EMILY DIANE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC, NCLEC, LDO
Contact information
Practice address
3040 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4004
(706) 861-5622
Mailing address
3040 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4004
(706) 861-5622
(706) 861-5704
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002850
GA
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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