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Organization

JING DONG MD PC

Active
Other names
Georgia Center for Sight
Organization subpart
No

Provider details

NPI number
Authorized official
JING DONG MD, PHD (OWNER)
(706) 546-9290
Entity
Organization

Contact information

Practice address
1110 COMMERCE DR, SUITE 112, GREENSBORO, GA 30642-7444
(706) 453-1922
(706) 453-1926
Mailing address
1110 COMMERCE DR, SUITE 112, GREENSBORO, GA 30642-7444
(706) 453-1922
(706) 453-1926

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT002405
GA
152W00000X
Optometrist
Primary
OPT002596
GA
207W00000X
Ophthalmology Physician
045447
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000791568K
GA
Enumeration date
05/09/2014
Last updated
02/28/2023
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