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Organization

ADVANCED FAMILY EYECARE OF HAMPTON, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRYSTAL GARDNER OD (SOLE MANAGING MEMBER)
(770) 707-0711
Entity
Organization

Contact information

Practice address
990 BEAR CREEK BLVD STE D, HAMPTON, GA 30228-1864
(770) 707-0711
Mailing address
990 BEAR CREEK BLVD STE D, HAMPTON, GA 30228-1864
(770) 707-0711

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002401
GA

Other

Enumeration date
08/28/2011
Last updated
08/28/2011
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