Individual
DR. EARNEST LEE CARDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2510 REDMOND CIRCLE, ROME, GA 30165
(706) 290-9950
Mailing address
2188 EAST BROOMTOWN ROAD, LAFAYETTE, GA 30728
(706) 638-7839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1134T
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00437148B
—
GA
Enumeration date
10/03/2006
Last updated
07/08/2007
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