Individual
DR. KOOSHA KERMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
600 CHASTAIN RD NW STE 312, KENNESAW, GA 30144-3047
(770) 428-8090
Mailing address
100 SHALLOWFORD RD NW, KENNESAW, GA 30144-5339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003589
GA
Other
Enumeration date
06/25/2024
Last updated
07/30/2024
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