Individual
MS. GWENDILYNN KAYE QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
116 MAIN ST, LINCOLNTON, GA 30817-6303
(706) 359-2020
(706) 359-3937
Mailing address
PO BOX 2169, LINCOLNTON, GA 30817-9169
(706) 359-2020
(706) 359-3937
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2057
GA
Other
Enumeration date
12/30/2020
Last updated
08/06/2024
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