person
Mrs. Ecclesia Luciana Grant, LDO
Optician in College Park, Georgia
NPI 1437476868

Ecclesia Luciana Grant is a Optician based in Atlanta, GA and is specialized in Optician. Ecclesia Luciana Grant practices in College Park, GA and has the professional credentials of LDO. The NPI Number for Ecclesia Luciana Grant is 1437476868 and holds a License No. LDO 002273 (Georgia).

The current practice location address for Ecclesia Luciana Grant is 5534 Old National Hwy, College Park, GA and can be reached out via phone at 404-432-1772 and via fax at 404-890-5574.

Location: 5534 Old National Hwy, College Park, GA, 30349-4440
person
Provider Profile Details
NPI Number
1437476868
Provider Name
Ecclesia Luciana Grant
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
5534 Old National Hwy, College Park, GA, 30349-4440
Phone Number
404-432-1772
Fax Number
404-890-5574
Provider Enumeration Date
04/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5534 Old National Hwy
City
State
Zip
30349-3212
Phone Number
404-432-1772
Fax Number
404-890-5574
person
Provider Business Mailing Address Details
Address
5534 Old National Hwy
City
State
Zip
30349-3212
Phone Number
404-432-1772
Fax Number
404-890-5574
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO 002273 (Georgia)
Definition
Definition to come...
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