Scott Provost, LDO
Scott Provost, LDO is an Optician in Athens, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4375 Lexington RdAthens, GA 30605-2525
Phone: (706) 355-3142
Fax: (706) 355-3820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1447949029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LDO |
| Sole proprietor | No |
| NPI enumerated | May 1, 2023 |
| Last updated in NPPES | May 1, 2023 |
| Certification date | May 1, 2023 |
| Mailing address | 4375 Lexington Rd, Athens, GA 30605-2525 |
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