W Wayne West Od PC

NPI #1477638849 in Hawkinsville, Georgia

Provider Information

NPI Number
1477638849
Entity Type
Organization
Organization Name
W Wayne West Od PC
Primary Specialty
Optometrist
Enumeration Date
Oct 26, 2006
Last Updated
Apr 10, 2008

Practice Location

Address
545 COMMERCE STREET
State
Georgia
ZIP Code
31036-1139
Phone
(478) 783-4186

Authorized Official

Name
MRS. BETTY GOODSON WEST
Title
OFFICE MANAGER
Phone
(478) 783-4186

Specialties & Taxonomy Codes

Specialty
Optometrist

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