Individual
DR. CHAD FERDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5270 PEACHTREE PKWY STE 109A, PEACHTREE CORNERS, GA 30092-6510
(678) 271-3445
Mailing address
5115 RIVERLAKE DR, PEACHTREE CORNERS, GA 30097-2368
(770) 595-2730
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA001769
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92957
—
GA
Enumeration date
02/27/2007
Last updated
05/24/2023
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