Robert L Elwelljr Od PC

NPI #1891766952 in Tucker, Georgia

Provider Information

NPI Number: 1891766952
Entity Type: Organization
Organization Name: Robert L Elwelljr Od PC
Primary Specialty: Optometrist
Enumeration Date: Jan 27, 2006
Last Updated: Nov 1, 2007

Practice Location

Address: 2256 NORTHLAKE PKWY
Address 2: #205
City: Tucker
State: Georgia
ZIP Code: 30084-4004
Phone: (770) 934-0337

Authorized Official

Name: DR. ROBERT L ELWELL JR., OD
Title: PRESIDENT
Phone: (770) 934-0337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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