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NPI Code Detail

MEDICARE: DNK HEALTHCARE

MEDICARE: DNK HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic SupplierGA1683GA
2156FX1800XOpticianLDO1683GA
3332H00000XEyewear SupplierGA1683GA
4156FC0801XContact Lens FitterLDO1683GA

General Provider Information

NPI Number : 1922218692
Entity Type Code : Organization
Provider Name (Legal Business Name) : DNK HEALTHCARE
Provider Business Mailing Address
First Line : 25 EQUESTRIAN WAY NE
Second Line :
City : CARTERSVILLE
State : GA
Zip : 30121-8032
Country : US
Telephone Number : 404-323-2020
Fax Number : 404-412-2020
Provider Business Practice Location Address
First Line : 1995 N PARK PL SE
Second Line : SUITE 310P
City : ATLANTA
State : GA
Zip : 30339-7801
Country : US
Telephone Number : 404-323-2020
Fax Number : 404-412-2020
Authorized Official
Title or Position : PRACTITIONER
Name : MR. DAN L MYER
Credential : FCLSA, LDO
Telephone Number : 404-323-2020
Provider Enumeration Date : 05/23/2007
Last Update Date : 02/08/2017

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Directions to “DNK HEALTHCARE ” Practice Location

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