Individual
CAREY JENKINS PHLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1000 CORPORATE CENTER DR STE 100, MORROW, GA 30260-4106
(770) 968-8888
(770) 860-2473
Mailing address
1000 CORPORATE CENTER DR STE 100, MORROW, GA 30260-4106
(770) 968-8888
(770) 860-2473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT2644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112940A
—
GA
01
—
581787543
FEIN
—
Enumeration date
06/29/2011
Last updated
09/26/2016
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