person
Mrs. Carole F Medou, LDO
Optician in Lawrenceville, Georgia
NPI 1427667302

Carole F Medou is a Optician based in Lawrenceville, GA and is specialized in Optician. Carole F Medou practices in Lawrenceville, GA and has the professional credentials of LDO. The NPI Number for Carole F Medou is 1427667302 and holds a License No. 2211 (Georgia).

The current practice location address for Carole F Medou is 57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA and can be reached out via phone at 678-878-3540. You can also correspond with Carole F Medou through the mailing address at 1475 BUFORD DR, LAWRENCEVILLE, GA - 30043-3719 (mailing address contact number: 470-535-8540).

Location: 57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA, 30043-3719
person
Provider Profile Details
NPI Number
1427667302
Provider Name
Carole F Medou
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA, 30043-3719
Phone Number
678-878-3540
Fax Number
Provider Enumeration Date
07/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
752180024 01 GA PEACHSTATE, WELLCARE, MEDICAID, CARESOURCE
institution
Provider Business Practice Location Address Details
Address
57 Hurricane Shoals Rd Nw Ste A
City
State
Zip
30046-5396
Phone Number
678-878-3540
Fax Number
person
Provider Business Mailing Address Details
Address
57 Hurricane Shoals Rd Nw Ste A
City
State
Zip
30046-5396
Phone Number
678-878-3540
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
2211 (Georgia)
Definition
Definition to come...
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