Organization
ROBERT L ELWELLJR OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L ELWELL JR. OD (PRESIDENT)
(770) 934-0337
Entity
Organization
Contact information
Practice address
2256 NORTHLAKE PKWY, #205, TUCKER, GA 30084-4004
(770) 934-0337
(770) 939-5023
Mailing address
2256 NORTHLAKE PKWY, #205, TUCKER, GA 30084-4034
(770) 934-0337
(770) 939-5023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000809
GA
Other
Enumeration date
01/27/2006
Last updated
11/01/2007
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