TARA FOWLER OPTOMETRIC CORPORATION
Optometry at Heritage Trl, Roswell, GA

License number
Georgia OPT002415
Category
Optometry
Type
Optometrist
Owner
Name: TARA LEIGH FOWLER O.D.
Title: CEO
Phone: (404) 414-3238
Address
Address
1595 Heritage Trl, Roswell, GA 30075
National Provider ID: 1184851800
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TARA FOWLER OPTOMETRIC CORPORATION at bizstanding.com

TARA FOWLER OPTOMETRIC CORPORATION

Roswell, GA

Industry:
Optometrist's Office
Registration:
Aug 11, 2008
Addresses:
930 Marietta Hwy SUITE 400, Roswell, GA 30075 (Physical)
1595 Heritage Trl, Roswell, GA 30075
State ID:
08062817
Business type:
Domestic Professional Corporation
Chief Executive Officer, Od , Principals:
Leigh Tara Fowler (Secretary), 930 Marietta Hwy SUITE 400, Roswell, GA 30075 (Physical),Tara L. Fowler (Chief Executive Officer, Od , Principal)
Agent:
Tara Leigh Fowler,930 Marietta Hwy SUITE 400, Roswell, GA (Physical)

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