Individual
DR. LINH T TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
270 WALMART WAY, DAHLONEGA, GA 30533-0824
(706) 867-9335
(706) 867-8679
Mailing address
6795 BRAGG RD, CUMMING, GA 30041-4701
(678) 481-8132
(770) 292-9301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001539
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2200336
UNITED HEALTHCARE
GA
01
—
52637649
BC&BS
GA
05
—
550819396A
—
GA
Enumeration date
08/24/2005
Last updated
01/10/2022
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