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Organization

JOLI OCULOPLASTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIA KANG MD (PHYSICIAN, OWNER)
(636) 484-4047
Entity
Organization

Contact information

Practice address
10710 MEDLOCK BRIDGE RD STE 150, JOHNS CREEK, GA 30097-2440
(770) 629-0600
(770) 215-7522
Mailing address
10710 MEDLOCK BRIDGE RD STE 150, JOHNS CREEK, GA 30097-2440
(770) 629-0600
(770) 215-7522

Taxonomy

Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
07/31/2023
Last updated
01/08/2024
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