person
Scott Provost, LDO
Optician in Athens, Georgia
NPI 1447949029

Scott Provost is a Optician based in Athens, GA and is specialized in Optician. Scott Provost practices in Athens, GA and has the professional credentials of LDO. The NPI Number for Scott Provost is 1447949029 and holds a License No. (Georgia).

The current practice location address for Scott Provost is 4375 Lexington Rd, Athens, GA and can be reached out via phone at 706-355-3142 and via fax at 706-355-3820.

Location: 4375 Lexington Rd, Athens, GA, 30605-2525
person
Provider Profile Details
NPI Number
1447949029
Provider Name
Scott Provost
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
4375 Lexington Rd, Athens, GA, 30605-2525
Phone Number
706-355-3142
Fax Number
706-355-3820
Provider Enumeration Date
05/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4375 Lexington Rd
City
State
Zip
30605-2525
Phone Number
706-355-3142
Fax Number
706-355-3820
person
Provider Business Mailing Address Details
Address
4375 Lexington Rd
City
State
Zip
30605-2525
Phone Number
706-355-3142
Fax Number
706-355-3820
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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