Thomas Blair Jr., LDO
Technician/Technologist, Optician in Atlanta, GA. Individual provider (NPI-1).
NPI number1447470992
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1447470992
- Entity type
- Individual (NPI-1)
- Name
- Thomas Blair Jr.
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | LDO#748 | GA | Yes |
Practice location
862 Martin Luther King Jr Dr SwAtlanta, GA 30314-3642
Phone 770-348-9955 · Fax 404-523-8012
Mailing address
Po Box 574Avondale Estates, GA 30002-0574
Phone 770-348-9955 · Fax 404-523-8012
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