Individual
NIKITA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 MALL BLVD # 600, SAVANNAH, GA 31406-4797
(912) 356-3833
Mailing address
318 MALL BLVD # 600, SAVANNAH, GA 31406-4797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002984
GA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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