Individual
YELENA KORSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 SARDIS CHURCH RD, BUFORD, GA 30519-6019
(678) 546-6114
(678) 546-6640
Mailing address
3250 SARDIS CHURCH RD, BUFORD, GA 30519-6019
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002647
GA
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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