| Mr Edward Herman Pottlitzer, OD | |
|
2911 Chapel Hill Rd, Suite 210, Douglasville, GA 30135 | |
| (770) 949-4223 | |
| (770) 949-4994 |
| Full Name | Mr Edward Herman Pottlitzer |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2911 Chapel Hill Rd, Douglasville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164555942 | NPI | - | NPPES |
| 79949 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT000700 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Herman Pottlitzer, OD 2911 Chapel Hill Rd, Suite 210, Douglasville, GA 30135 Ph: (770) 949-4223 | Mr Edward Herman Pottlitzer, OD 2911 Chapel Hill Rd, Suite 210, Douglasville, GA 30135 Ph: (770) 949-4223 |
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