Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPT002325 | GA |
NPI | 1013129352 |
---|---|
Provider Name | Dr. Eric M Ferris |
First Address | Gainesville, GA 30501-3867 |
Second Address | Gainesville, GA 30501-3867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2007 |
Last Update Date | 07/01/2008 |