Miguel Angel Bosch, OD
Optometrist in Augusta, GA. Individual provider (NPI-1).
NPI number1750464178
StatusActive
Last updated in NPPESOct 20, 2011
Details
- NPI
- 1750464178
- Entity type
- Individual (NPI-1)
- Name
- Miguel Angel Bosch
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2006
- Last updated
- Oct 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 001096 | GA | Yes |
Practice location
3450 Wrightsboro RdSuite 1325
Augusta, GA 30909-0566
Phone 706-736-9929 · Fax 706-736-9967
Mailing address
3450 Wrightsboro RdSuite 1325
Augusta, GA 30909-0566
Phone 706-736-9929 · Fax 706-736-9967
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