Individual
MR. CLAVEAR KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO, ABOC, NCLEC
Contact information
Practice address
3277 EMBRY DOWNS CT, ATLANTA, GA 30340-4472
(404) 333-9500
Mailing address
3277 EMBRY DOWNS CT, ATLANTA, GA 30340-4472
(404) 333-9500
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
LDO002174
GA
Other
Enumeration date
08/16/2021
Last updated
12/18/2023
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