Individual
DR. MOHAMMAD KAMRUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1871 N ELM ST, COMMERCE, GA 30529-2349
(706) 659-3540
(706) 659-3541
Mailing address
2964 SILVERMERE LANE, DULUTH, GA 30097
(678) 439-1393
(706) 659-3541
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856421474A
—
GA
05
—
856421474B
—
GA
05
—
856421474C
—
GA
Enumeration date
10/02/2006
Last updated
10/12/2021
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