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Mr. Stephen A Beall, LDO
Optician in Valdosta, Georgia
NPI 1720576366

Stephen A Beall is a Optician based in Valdosta, GA and is specialized in Optician. Stephen A Beall practices in Valdosta, GA and has the professional credentials of LDO. The NPI Number for Stephen A Beall is 1720576366 and holds a License No. LDO000598 (Georgia).

The current practice location address for Stephen A Beall is 3001 N Ashley St, Valdosta, GA and can be reached out via phone at 229-247-8484. You can also correspond with Stephen A Beall through the mailing address at 3001 N ASHLEY ST, VALDOSTA, GA - 31602-1709 (mailing address contact number: 229-247-8484).

Location: 3001 N Ashley St, Valdosta, GA, 31602-1709
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Provider Profile Details
NPI Number
1720576366
Provider Name
Stephen A Beall
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
3001 N Ashley St, Valdosta, GA, 31602-1709
Phone Number
229-247-8484
Fax Number
Provider Enumeration Date
04/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366429599 01 GA CORPORATION NPI
institution
Provider Business Practice Location Address Details
Address
3001 N Ashley St
City
State
Zip
31602-1709
Phone Number
229-247-8484
Fax Number
person
Provider Business Mailing Address Details
Address
3001 N Ashley St
City
State
Zip
31602-1709
Phone Number
229-247-8484
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO000598 (Georgia)
Definition
Definition to come...
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