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Brian Athearn, LDO
Optician in Evans, Georgia
NPI 1568152320

Brian Athearn is a Optician based in Augusta, GA and is specialized in Optician. Brian Athearn practices in Evans, GA and has the professional credentials of LDO. The NPI Number for Brian Athearn is 1568152320 and holds a License No. 1338 (Georgia).

The current practice location address for Brian Athearn is 4471 Washington Rd, Evans, GA and can be reached out via phone at 706-854-7779.

Location: 4471 Washington Rd, Evans, GA, 30916-5451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568152320
Provider Name
Brian Athearn
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
4471 Washington Rd, Evans, GA, 30916-5451
Phone Number
706-854-7779
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4471 Washington Rd
City
Evans
State
Georgia
Zip
30809-6351
Phone Number
706-854-7779
Fax Number
person
Provider Business Mailing Address Details
Address
4471 Washington Rd
City
Evans
State
Georgia
Zip
30809-6351
Phone Number
706-854-7779
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
1338 (South Carolina)
Definition
Definition to come...
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