DR. Marga Rita Wastalu, OD

NPI #1861858128 in Sugar Hill, Georgia

Provider Information

NPI Number: 1861858128
Entity Type: Individual
Name: DR. Marga Rita Wastalu, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 1, 2016
Last Updated: Jan 1, 2016

Practice Location

Address: 215 BEECH TREE HOLW
City: Sugar Hill
State: Georgia
ZIP Code: 30518-8005
Phone: (678) 765-2999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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