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Doctors / GA
OPTOMETRY
Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2022
NPI: 1124755723
105 SAN MARINO CT
Fayetteville, GA 302141435
PO BOX, SUITE 144085
FAYETTEVILLE, GA 30214
Source: CMS National Downloadable File, September 2026.