Search › Georgia › 152W00000X
Marga Wastalu, OD
NPI 1861858128 · on the registry since 2016 · sole proprietor
Practice
- Address
- 215 Beech Tree Holw
Sugar Hill, GA 30518 - Phone
- (678) 765-2999
- Fax
- (678) 765-7334
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- OK, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia