Kenton Donelle Hodge, LDO

NPI #1780467258 in Tucker, Georgia

Provider Information

NPI Number
1780467258
Entity Type
Individual
Name
Kenton Donelle Hodge, LDO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
LDO
Enumeration Date
Aug 17, 2023
Last Updated
Aug 17, 2023

Practice Location

Address
1940 MOUNTAIN INDUSTRIAL BLVD
City
Tucker
State
Georgia
ZIP Code
30084-6619
Phone
(678) 280-0248

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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