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Organization

FORTNEY EYE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH FORTNEY (OWNER)
(706) 461-1133
Entity
Organization

Contact information

Practice address
3886 GA HIGHWAY 17 RD, EASTANOLLEE, GA 30538-3808
(706) 297-7292
(706) 297-7317
Mailing address
PO BOX 2065, CLAYTON, GA 30525-0052
(706) 461-1133
(253) 981-8053

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2465
GA

Other

Enumeration date
01/26/2011
Last updated
01/26/2011
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