Individual
KEESHA K. HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3615 CHARLES HARDY PKWY, DALLAS, GA 30157-9472
(770) 445-3938
(770) 445-0127
Mailing address
935 QUEENSBROOKE WAY, MABLETON, GA 30126-6413
(678) 945-4673
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GAOPT002236
GA
Other
Enumeration date
09/20/2006
Last updated
12/13/2022
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