Individual
DR. NEVILLE KERSI DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
113 LINCOLN ST, COSTCO - OPTOMETRY, WOODSTOCK, GA 30188
(770) 694-7208
Mailing address
1058 PIEDMONT AVE NE APT 403, ATLANTA, GA 30309-3749
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003060
GA
Other
Enumeration date
07/12/2012
Last updated
01/26/2021
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