Stephen A Beall, LDO Valid NPI
Individual provider · Optician · Valdosta, GA
- NPI
- 1720576366
- Type
- Individual (Type 1)
- Primary specialty
- Optician (Technician/Technologist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 156FX1800X
- License number
- LDO000598 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-04-30
- Last updated
- 2018-04-30
Practice location
3001 N Ashley St
Valdosta, GA 31602-1709
(229) 247-8484