Individual
MATTHEW RYAN DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2402 SOUTHLAKE MALL, MORROW, GA 30260-2334
(770) 961-1001
Mailing address
2402 SOUTHLAKE MALL, MORROW, GA 30260-2334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2952
TN
152W00000X
Optometrist
Primary
OPT002609
GA
Other
Enumeration date
08/22/2010
Last updated
08/22/2010
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