Individual
MIRIAM R PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1100 EISENHOWER DR STE 4A, SAVANNAH, GA 31406-3926
(912) 920-4747
(912) 920-8055
Mailing address
1100 EISENHOWER DR STE 4A, SAVANNAH, GA 31406-3926
(912) 920-4747
(912) 920-8055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-008921
IL
152W00000X
Optometrist
Primary
OPT002373
GA
Other
Enumeration date
12/19/2006
Last updated
08/13/2020
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