person
Kenton Donelle Hodge, LDO
Optician in Tucker, Georgia
NPI 1780467258

Kenton Donelle Hodge is a Optician based in Lithonia, GA and is specialized in Optician. Kenton Donelle Hodge practices in Tucker, GA and has the professional credentials of LDO. The NPI Number for Kenton Donelle Hodge is 1780467258 and holds a License No. 1946 (Georgia).

The current practice location address for Kenton Donelle Hodge is 1940 Mountain Industrial Blvd, Tucker, GA and can be reached out via phone at 678-280-0248.

Location: 1940 Mountain Industrial Blvd, Tucker, GA, 30058-8239
person
Provider Profile Details
NPI Number
1780467258
Provider Name
Kenton Donelle Hodge
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
1940 Mountain Industrial Blvd, Tucker, GA, 30058-8239
Phone Number
678-280-0248
Fax Number
Provider Enumeration Date
08/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1940 Mountain Industrial Blvd
City
State
Zip
30084-6619
Phone Number
678-280-0248
Fax Number
person
Provider Business Mailing Address Details
Address
1940 Mountain Industrial Blvd
City
State
Zip
30084-6619
Phone Number
678-280-0248
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1946 (Georgia)
Definition
Definition to come...
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