Individual
BORIS SEVERINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
(404) 778-2020
Mailing address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
(404) 778-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC5225
FL
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT003068
GA
Other
Enumeration date
08/09/2016
Last updated
02/05/2018
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