person
Mr. Terrell Thompson Underwood, LDO
Optician in Conyers, Georgia
NPI 1881729788

Terrell Thompson Underwood is a Optician based in Conyers, GA and is specialized in Optician. Terrell Thompson Underwood practices in Conyers, GA and has the professional credentials of LDO. The NPI Number for Terrell Thompson Underwood is 1881729788 and holds a License No. LDO000310 (Georgia).

The current practice location address for Terrell Thompson Underwood is 805 Commerce Dr Sw, Conyers, GA and can be reached out via phone at 770-483-4831 and via fax at 770-483-4840. You can also correspond with Terrell Thompson Underwood through the mailing address at 805 COMMERCE DR SW, CONYERS, GA - 30094-6606 (mailing address contact number: 770-483-4831).

Location: 805 Commerce Dr Sw, Conyers, GA, 30094-6606
person
Provider Profile Details
NPI Number
1881729788
Provider Name
Terrell Thompson Underwood
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
805 Commerce Dr Sw, Conyers, GA, 30094-6606
Phone Number
770-483-4831
Fax Number
770-483-4840
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
805 Commerce Dr Sw
City
State
Zip
30094-6606
Phone Number
770-483-4831
Fax Number
770-483-4840
person
Provider Business Mailing Address Details
Address
805 Commerce Dr Sw
City
State
Zip
30094-6606
Phone Number
770-483-4831
Fax Number
770-483-4840
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO000310 (Georgia)
Definition
Definition to come...
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