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Individual

DR. NADIRA SOAD SHADEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D., F.C.O.V.D.

Contact information

Practice address
2055 HAMILTON CREEK PKWY STE 120, DACULA, GA 30019-7205
(770) 904-0979
Mailing address
3518 HABERSHAM CLUB DR, CUMMING, GA 30041-8003
(678) 448-2696

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1440
SC
152W00000X
Optometrist
2355
GA
152WV0400X
Vision Therapy Optometrist
1440
SC
152WV0400X
Vision Therapy Optometrist
Primary
2355
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D14401
SC
Enumeration date
08/30/2006
Last updated
10/07/2022
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