Wal-Mart Stores East, Lp.
NPI #1679349450 in Statesboro, Georgia
Provider Information
- NPI Number
- 1679349450
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, Lp.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 1, 2023
- Last Updated
- Dec 1, 2023
Practice Location
- Address
- 147 NORTHSIDE DR E
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-4760
- Phone
- (912) 764-7914
Authorized Official
- Name
- MICHELE GARVEY
- Title
- DIRECTOR OF HEALTH CARE CONTRACTING
- Phone
- (479) 277-2611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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