Individual
DR. LIANNE ASHLEY CHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2860 CUMBERLAND MALL SE STE 1440, ATLANTA, GA 30339-3963
(770) 434-4552
Mailing address
230 ALDAY LN, MARIETTA, GA 30060-1174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003125
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT003125
LICENSE
GA
Enumeration date
08/19/2018
Last updated
08/19/2018
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