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Individual

SHIH YIN ANNA KAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
CLARK-HOLDER CLINIC, P.A., 303 SMITH STREET, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091
Mailing address
CLARK-HOLDER CLINIC, P.A., 303 SMITH STREET, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
48788
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000876158A
GA
05
009932400
AL
Enumeration date
06/16/2006
Last updated
08/06/2008
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