Individual
DIANA SHEKOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1075 BANDY PKWY STE 110, LOCUST GROVE, GA 30248-7036
(770) 228-3836
Mailing address
1075 BANDY PKWY STE 110, LOCUST GROVE, GA 30248-7036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003677
GA
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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