Organization
GERIATRIC EYE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S DICKINSON OD (OWNER)
(770) 953-6412
Entity
Organization
Contact information
Practice address
1545 POWERS FERRY RD, MARIETTA, GA 30067-9412
(770) 952-6412
(770) 953-2738
Mailing address
1545 POWERS FERRY RD, MARIETTA, GA 30067-9412
(770) 952-6412
(770) 953-2738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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