Individual
JILKA MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2050 LAWRENCEVILLE HWY, DECATUR, GA 30033-4323
(404) 325-5300
Mailing address
2050 LAWRENCEVILLE HWY, APT 2, DECATUR, GA 30033-4323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002880
GA
Other
Enumeration date
07/03/2015
Last updated
08/17/2015
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