Individual
DR. ELISE BUGENSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2230 TOWNE LAKE PKWY BLDG 600 STE 100, WOODSTOCK, GA 30189-2607
(770) 591-3511
(770) 591-3752
Mailing address
2230 TOWNE LAKE PKWY BLDG 600 STE 100, WOODSTOCK, GA 30189-2607
(770) 591-3511
(770) 591-3752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002863
GA
Other
Enumeration date
03/31/2015
Last updated
09/20/2022
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