Provider Demographics
NPI:1649462466
Name:VOLINGAVAGE, BETH A (OD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:A
Last Name:VOLINGAVAGE
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:2725 OLD MILTON PKWY B
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2282
Mailing Address - Country:US
Mailing Address - Phone:770-475-1777
Mailing Address - Fax:770-475-1777
Practice Address - Street 1:2725 OLD MILTON PKWY B
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-2282
Practice Address - Country:US
Practice Address - Phone:770-475-1777
Practice Address - Fax:770-475-1794
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2015-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAOPT 002266152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist