Individual
EMOKENIOVO OMONO THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
509 N TENNESSEE ST, CARTERSVILLE, GA 30120-2889
(678) 935-1000
(770) 342-1011
Mailing address
509 N TENNESSEE ST, CARTERSVILLE, GA 30120-2889
(678) 935-1000
(770) 342-1011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002178
GA
Other
Enumeration date
06/08/2006
Last updated
10/14/2011
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