Underwood, Terrell Thompson

Underwood, Terrell Thompson is an individual health care provider with primary practice located at 805 Commerce Dr Sw Suite A, Conyers GA 30094-6606. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Underwood, Terrell Thompson can be contacted via phone (770) 483-4831.

Contact Information

Primary practice address
805 Commerce Dr Sw Suite A Conyers GA 30094-6606
Phone: (770) 483-4831
Fax: (770) 483-4840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X LDO000310 Georgia

Profile Details

NPI number 1881729788
LBN Legal business name Underwood, Terrell Thompson
Credentials L.D.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers