Individual
ANDREW KHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 COBBS FORD RD, PRATTVILLE, AL 36066-7211
(334) 595-6550
Mailing address
16308 E BREWSTER RD APT E233, COVINGTON, LA 70433-7249
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-F25-TA-C99
AL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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