Individual
CHIOMA MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1400 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-2029
(404) 661-2855
Mailing address
3725 MANCHESTER DR, LAWRENCEVILLE, GA 30044-4182
(140) 439-9829
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
002706
GA
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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