Individual
SUMHERA CHAGANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2400 N DRUID HILLS RD NE, ATLANTA, GA 30329-3211
(404) 720-7721
Mailing address
2400 N DRUID HILLS RD NE, ATLANTA, GA 30329-3211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-003099
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPT-003099
—
GA
Enumeration date
07/06/2018
Last updated
07/06/2018
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