Individual
MIER WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
3700 ATLANTA HWY STE 141, ATHENS, GA 30606-7420
(706) 613-6409
(706) 613-6409
Mailing address
810 GOLF VIEW CT, DACULA, GA 30019-6732
(678) 376-8488
(706) 613-5514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1517
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00732685B
—
GA
Enumeration date
03/26/2007
Last updated
07/08/2007
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