Individual
RYAN CHIHIEN TIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1415 WOOTEN LAKE RD NW, KENNESAW, GA 30144-1336
(770) 792-3937
(770) 847-2727
Mailing address
1415 WOOTEN LAKE RD NW, KENNESAW, GA 30144-1336
(770) 792-3937
(770) 847-2727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002989
GA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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