Organization
RAY POPHAM OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RAY POPHAM O.D. (OWNER)
(770) 748-2443
Entity
Organization
Contact information
Practice address
206 MAIN ST, CEDARTOWN, GA 30125-3040
(770) 748-2443
(770) 748-8885
Mailing address
206 MAIN ST, CEDARTOWN, GA 30125-3040
(770) 748-2443
(770) 748-8885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000864
GA
Other
Enumeration date
02/15/2008
Last updated
03/10/2008
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