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Organization

DR DUDLEY B CHRISTIE JR

Active
Other names
christie eye care
Organization subpart
No

Provider details

NPI number
Authorized official
DUDLEY B CHRISTIE JR. OD (OWNER)
(478) 934-8848
Entity
Organization

Contact information

Practice address
145 SECOND ST, COCHRAN, GA 31014
(478) 934-8848
Mailing address
PO BOX 498, COCHRAN, GA 31014-0498
(478) 934-8848

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000731
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00055767F
GA
Enumeration date
09/19/2008
Last updated
09/19/2008
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