R Dale Anderson, OD Valid NPI
Individual provider · Optometrist · Morrow, GA
- NPI
- 1992872295
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 1153T (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-29
- Last updated
- 2007-07-08
Practice location
1544 Southlake Pkwy, Suite 9-B
Morrow, GA 30260-3025
(770) 961-9090