Individual
VICTOR K THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 EPPS BRIDGE PKWY STE 105, ATHENS, GA 30606-6127
(706) 352-2282
Mailing address
628 COOPER RIVER CIR UNIT 3310, FORT MILL, SC 29715-8964
(980) 428-4754
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003629
GA
Other
Enumeration date
05/02/2024
Last updated
12/17/2024
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