Individual
ANN VAN WIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1365 CLIFTON RD NE # B, ATLANTA, GA 30322-1013
(404) 778-2020
(404) 778-5609
Mailing address
1365 CLIFTON RD NE # B, ATLANTA, GA 30322-1013
(404) 778-2020
(404) 778-5609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1440
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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