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

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Ophthalmology · DACULA, GA

Registration Details

NPI Number
1992570642
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2023 (2.4641460006373 yrs)
Last Updated
Nov 21, 2023
License
100XXX (GA)

Practice Information

Address
1184 IVEY CHASE PL
DACULA, GA, 300197868
Browse GA providers · Browse ZIP 30019
Phone
6782564429
Primary Specialty
Ophthalmology
207W00000X
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.