person
Tina Miranda Carver, LDO
Optician in Douglas, Georgia
NPI 1568525863

Tina Miranda Carver is a Optician based in Douglas, GA and is specialized in Optician. Tina Miranda Carver practices in Douglas, GA and has the professional credentials of LDO. The NPI Number for Tina Miranda Carver is 1568525863 and holds a License No. 0001756 (Georgia).

The current practice location address for Tina Miranda Carver is 316 Gaskin Ave S, Douglas, GA and can be reached out via phone at 912-393-3937 and via fax at 912-393-3944.

Location: 316 Gaskin Ave S, Douglas, GA, 31533-0015
person
Provider Profile Details
NPI Number
1568525863
Provider Name
Tina Miranda Carver
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
316 Gaskin Ave S, Douglas, GA, 31533-0015
Phone Number
912-393-3937
Fax Number
912-393-3944
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1286180001 01 GA PALMETTO GBA
institution
Provider Business Practice Location Address Details
Address
316 Gaskin Ave S
City
State
Zip
31533-0015
Phone Number
912-393-3937
Fax Number
912-393-3944
person
Provider Business Mailing Address Details
Address
316 Gaskin Ave S
City
State
Zip
31533-0015
Phone Number
912-393-3937
Fax Number
912-393-3944
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
0001756 (Georgia)
Definition
Definition to come...
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