Individual
HANAN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DISPENSING OPTICIAN
Contact information
Practice address
514 TYNE DR, LAWRENCEVILLE, GA 30044-1545
(678) 591-9755
Mailing address
1825 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087-3335
(770) 469-3221
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
002290
GA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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