Doctor Name: | MS. SANDRA DAY |
NPI Number: | 1053594358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.D.O |
License Number: | 479 |
Business Practice Address: | 363 Main St S Tift Eye Care Tifton, GA - 317944813 |
Business Phone Number: | 2293824441 |
Business Fax Number: | 2293860211 |
Mailing Address: | 363 Main St S, Tift Eye Care TIFTON |
State: | GA |
Postal Code: | 317944813 |
Phone Number: | 2293824441 |
Fax Number: | 2293860211 |
NPI Enumeration Date: | 12/10/2007 |
NPI Last Update Date: | 01/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |