Whitehead, Andre
Whitehead, Andre is an individual health care provider with primary practice located at 2402 Southlake Mall , Morrow GA 30260-2334. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Whitehead, Andre can be contacted via phone (770) 961-1001.Contact Information
Primary practice address
2402 Southlake Mall
Morrow GA 30260-2334
Phone: (770) 961-1001
Fax: (770) 961-4073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002221 | Georgia |
Profile Details
| NPI number | 1255351672 |
|---|---|
| LBN Legal business name | Whitehead, Andre |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 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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