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Mr. Michael Terrell, LDO
Optician in Conyers, Georgia
NPI 1760870612

Michael Terrell is a Optician based in Conyers, GA and is specialized in Optician. Michael Terrell practices in Conyers, GA and has the professional credentials of LDO. The NPI Number for Michael Terrell is 1760870612 and holds a License No. LDO002484 (Georgia).

The current practice location address for Michael Terrell is 806 Cambridge Creek Dr, Conyers, GA and can be reached out via phone at 404-933-9450.

Location: 806 Cambridge Creek Dr, Conyers, GA, 30094-5081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760870612
Provider Name
Michael Terrell
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
806 Cambridge Creek Dr, Conyers, GA, 30094-5081
Phone Number
404-933-9450
Fax Number
Provider Enumeration Date
12/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
806 Cambridge Creek Dr
City
Conyers
State
Georgia
Zip
30094
Phone Number
404-933-9450
Fax Number
person
Provider Business Mailing Address Details
Address
806 Cambridge Creek Dr
City
Conyers
State
Georgia
Zip
30094
Phone Number
404-933-9450
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
LDO002484 (Georgia)
Definition
Definition to come...
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