Individual
DR. JONATHAN DAVID CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
915 RIDGEWALK PKWY STE 425, WOODSTOCK, GA 30188-0119
(770) 592-7413
(770) 516-6797
Mailing address
5947 HOLLY SPRINGS PKWY STE 305, WOODSTOCK, GA 30188-2449
(404) 556-7656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002756
GA
Other
Enumeration date
06/19/2013
Last updated
07/21/2022
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