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Individual

JOHN HOSKINS WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1708 SCENIC HWY N, SNELLVILLE, GA 30078-2134
(770) 736-3354
Mailing address
1025 FAIRVIEW CLUB CIR, DACULA, GA 30019-3192
(770) 338-8453

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1828
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00968481A
GA
Enumeration date
06/30/2006
Last updated
07/08/2007
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