Anderson, R Dale

Anderson, R Dale is an individual health care provider with primary practice located at 1544 Southlake Pkwy Suite 9-B, Morrow GA 30260-3025. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, R Dale can be contacted via phone (770) 961-9090.

Contact Information

Primary practice address
1544 Southlake Pkwy Suite 9-B Morrow GA 30260-3025
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1153T Georgia

Profile Details

NPI number 1992872295
LBN Legal business name Anderson, R Dale
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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