DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SANTRELL DENISE HART-MORELAND, O.D.,M.P.H.

Active Sole Proprietor

DR. SANTRELL DENISE HART-MORELAND, O.D.,M.P.H. is a Optometrist healthcare provider located in ELLENWOOD, Georgia. NPI 1376613968 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ELLENWOOD, GA

Registration Details

NPI Number
1376613968
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2006 (19.776844598979 yrs)
Last Updated
Nov 16, 2012
Licenses
001761 (GA)
001761 (GA)
001761 (GA)
1761 (GA)
Sole Proprietor
Yes

Practice Information

Address
158 FAIRVIEW RD
SUITE B
ELLENWOOD, GA, 302942795
Browse GA providers · Browse ZIP 30294
Phone
6782895835
Fax
6782895837
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Nutrition, Education

Other Optometrist Providers in ELLENWOOD, GA

Name Credential NPI
DOLLY S RAJAMANNAR OD 1396843629
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.