Georgia Optometry Group Assoc. P.c.

NPI #1124195631 in Dunwoody, Georgia

Provider Information

NPI Number: 1124195631
Entity Type: Organization
Organization Name: Georgia Optometry Group Assoc. P.c.
Primary Specialty: Optometrist
Enumeration Date: Nov 29, 2006
Last Updated: Oct 14, 2010

Practice Location

Address: 4480A CHAMBLEE DUNWOODY ROAD
City: Dunwoody
State: Georgia
ZIP Code: 30338
Phone: (770) 394-2110

Authorized Official

Name: DR. GARY T PENCE
Title: PRESIDENT
Phone: (770) 394-2110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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