person
Benjamin Akpocha Idiale, LDO
Optician in Stone Mountain, Georgia
NPI 1417484510

Benjamin Akpocha Idiale is a Optician based in Stone Mountain, GA and is specialized in Optician. Benjamin Akpocha Idiale practices in Stone Mountain, GA and has the professional credentials of LDO. The NPI Number for Benjamin Akpocha Idiale is 1417484510 and holds a License No. LDO002703 (Georgia).

The current practice location address for Benjamin Akpocha Idiale is 5226 Stone Mountain Hwy Ste B, Stone Mountain, GA and can be reached out via phone at 404-578-9117.

Location: 5226 Stone Mountain Hwy Ste B, Stone Mountain, GA, 30087-3455
person
Provider Profile Details
NPI Number
1417484510
Provider Name
Benjamin Akpocha Idiale
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
5226 Stone Mountain Hwy Ste B, Stone Mountain, GA, 30087-3455
Phone Number
404-578-9117
Fax Number
Provider Enumeration Date
05/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5226 Stone Mountain Hwy Ste B
City
State
Zip
30087-3455
Phone Number
404-578-9117
Fax Number
person
Provider Business Mailing Address Details
Address
5226 Stone Mountain Hwy Ste B
City
State
Zip
30087-3455
Phone Number
404-578-9117
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO002703 (Georgia)
Definition
Definition to come...
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