Individual
SAMIA IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2100 PLEASANT HILL RD, H10-1, DULUTH, GA 30096-4701
(678) 475-0500
(678) 475-0563
Mailing address
11103 WEST AVE, 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001870
GA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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