Organization
DR. TRACY SNOWDEN O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY SNOWDEN (OPTOMETRIST)
(404) 593-6750
Entity
Organization
Contact information
Practice address
1940 MOUNTAIN INDUSTRIAL BLVD, TUCKER, GA 30084-6619
(678) 280-0248
(678) 280-0251
Mailing address
44 PEACHTREE PLACE, 731, ATLANTA, GA 30309-5402
(404) 593-6750
(404) 963-0079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001590
GA
Other
Enumeration date
11/17/2009
Last updated
11/18/2009
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