Individual
JOE H DEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
428 W HIGHLAND AVE, MONROE, GA 30655-1908
(770) 267-2573
(770) 267-6751
Mailing address
PO BOX 788, MONROE, GA 30655-0788
(770) 267-2573
(770) 267-6751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
654T
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000003726A
—
GA
Enumeration date
01/15/2007
Last updated
04/11/2013
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