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Dr. E. Jack Moomey, PC

Optometrist in Martinez, GA. Organization (NPI-2).

NPI number1962537993
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1962537993
Entity type
Organization (NPI-2)
Legal business name
Dr. E. Jack Moomey, PC
Organization subpart
No
Enumeration date
Feb 22, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT000709GAYes

Practice location

127 S Belair Rd
Martinez, GA 30907-9111

Phone 706-869-1800

Mailing address

127 S Belair Rd
Martinez, GA 30907-9111

Phone 706-869-1800

Authorized official

Elton Jack Moomey
Owner
7068691800

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