Individual
DR. MARGA RITA WASTALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
215 BEECH TREE HOLW, SUGAR HILL, GA 30518-8005
(678) 765-2999
(678) 765-7334
Mailing address
215 BEECH TREE HOLW, SUGAR HILL, GA 30518-8005
(678) 765-2999
(678) 765-7334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2291
OK
152W00000X
Optometrist
Primary
OPT002555
GA
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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