Individual
CANDACE HINES KOTEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4280 E WEST CONNECTOR SE, SMYRNA, GA 30082-4804
(770) 435-4457
Mailing address
180 JACKSON ST NE, APT 6115, ATLANTA, GA 30312-1303
(260) 241-5617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002774
GA
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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