Individual
AMANDA LEANN KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
2201 COBB PKWY SE, SMYRNA, GA 30080-7629
(770) 250-7510
(770) 953-4113
Mailing address
2201 COBB PKWY SE, SMYRNA, GA 30080-7629
(770) 250-7510
(770) 953-4113
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2889
GA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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