Organization
PAPP CLINIC OPTICAL
Active
Parent organization
PAPP CLINIC, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAPP CLINIC, P.C.
Authorized official
KIM PERUSKI CPMSM, CPCS (CREDENTIALING COORDINATOR)
(770) 301-0231
Entity
Organization
Contact information
Practice address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
Mailing address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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