NPI 1295025674

Pamela Correll, LLC

Organisation Eyewear Supplier Athens, GA

Practice location

Address: 2440 W Broad St STE 14, Athens, GA 30606-3428
Phone: (706) 546-5285
Fax: (706) 546-5494

Authorised official

Name: Pamela E Correll
Title: Owner
Phone: (706) 546-5285

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 001119 (GA)

Other Eyewear Supplier providers in Georgia →

Registry record

NPI: 1295025674
Entity type: Organization
NPI issued: 19 Apr 2011
Record last updated: 19 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.