person
Alphonso D Porter, LDO
Optician in East Point, Georgia
NPI 1215109996

Alphonso D Porter is a Optician based in East Point, GA and is specialized in Optician. Alphonso D Porter practices in East Point, GA and has the professional credentials of LDO. The NPI Number for Alphonso D Porter is 1215109996 and holds a License No. 488 (Georgia).

The current practice location address for Alphonso D Porter is 3118-A Washington Rd, East Point, GA and can be reached out via phone at 404-767-3995 and via fax at 404-767-3987.

Location: 3118-A Washington Rd, East Point, GA, 30346
person
Provider Profile Details
NPI Number
1215109996
Provider Name
Alphonso D Porter
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
3118-A Washington Rd, East Point, GA, 30346
Phone Number
404-767-3995
Fax Number
404-767-3987
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00248289C 05 GA
institution
Provider Business Practice Location Address Details
Address
3118-A Washington Rd
City
State
Zip
30346
Phone Number
404-767-3995
Fax Number
404-767-3987
person
Provider Business Mailing Address Details
Address
3118-A Washington Rd
City
State
Zip
30346
Phone Number
404-767-3995
Fax Number
404-767-3987
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
488 (Georgia)
Definition
Definition to come...
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