Individual
DR. MINH CONG TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2570 BLACKMON DR STE 350, DECATUR, GA 30033-6197
(678) 846-2000
Mailing address
1088 GRASSMEADE CT, SNELLVILLE, GA 30078-5501
(770) 331-3926
(678) 807-1158
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002034
GA
Other
Enumeration date
03/02/2006
Last updated
12/24/2022
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