Grant, Ecclesia Luciana

Grant, Ecclesia Luciana is an sole proprietor health care provider with primary practice located at 5534 Old National Hwy Suites 100-B, College Park GA 30349-3212. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Grant, Ecclesia Luciana can be contacted via phone (404) 432-1772.

Contact Information

Primary practice address
5534 Old National Hwy Suites 100-B College Park GA 30349-3212
Phone: (404) 432-1772
Fax: (404) 890-5574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X LDO 002273 Georgia

Profile Details

NPI number 1437476868
LBN Legal business name Grant, Ecclesia Luciana
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2010
Last updated May 13th, 2010 - about 15 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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