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Organization

ATLANTA EYE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIM C RAHARJA OD (CEO)
(678) 656-6305
Entity
Organization

Contact information

Practice address
1801 HOWELL MILL RD, WAL-MART VISION CENTER #3775, ATLANTA, GA 30318
(404) 352-3414
(404) 352-3416
Mailing address
4717 CAMBRIDGE TRCE, DUNWOODY, GA 30338-5252
(678) 656-6305

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT2319
GA

Other

Enumeration date
09/07/2006
Last updated
08/22/2020
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