Individual
ASAF BULLKICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11315 JOHNS CREEK PKWY STE 300, DULUTH, GA 30097-2644
(678) 737-4824
Mailing address
370 LANDING ENTRY, ALPHARETTA, GA 30022-7634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003508
GA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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