Individual
DR. CAMILLA DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10600 DAVIS DR, ALPHARETTA, GA 30009-4746
(770) 992-6811
Mailing address
270 COBB PKWY S, SUITE A-10A#264, MARIETTA, GA 30060-9320
(404) 519-7567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002026
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109625A
—
GA
Enumeration date
10/07/2005
Last updated
10/07/2011
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