DR. Ibry Dell Engram, OD

NPI #1942396452 in Clayton, Georgia

Provider Information

NPI Number: 1942396452
Entity Type: Individual
Name: DR. Ibry Dell Engram, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1455 HWY 441 SOUTH
City: Clayton
State: Georgia
ZIP Code: 30525
Phone: (706) 782-6961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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