Individual
APRIL KONGMANICHANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1801 US-129, CLEVELAND, GA 30528
(706) 702-8421
Mailing address
1801 US-129, CLEVELAND, GA 30528
(770) 331-8311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003655
GA
Other
Enumeration date
01/17/2025
Last updated
08/15/2025
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