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Individual

SIMA LAL GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D., M.P.H.

Contact information

Practice address
860 PEACHTREE ST NE, SUITE F, ATLANTA, GA 30308-1249
(404) 853-5008
Mailing address
860 PEACHTREE ST NE, SUITE F, ATLANTA, GA 30308-1249
(404) 853-5008

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002472
GA
152W00000X
Optometrist
TUV007026
NY

Other

Enumeration date
02/02/2007
Last updated
12/27/2011
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