NPI 1629761580

Tammy Ford, LDO

Practitioner Optician Canton, GA

Practice location

Address: 126 Little Shoals Dr, Canton, GA 30115-7610
Phone: (770) 789-1181

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1884 (GA)

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1629761580
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2023
Record last updated: 29 May 2023

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.