Graduated: 2016
NPI: 1538519731
Practice Locations (2)
MYSTIC MEDICAL LLC
5555 GLENRIDGE CONNECTOR, SUITE 200
ATLANTA, GA 303424815
4044592516
C AND Y DOCTORS OF OPTOMETRY INC
3511 BRASELTON HWY, SUITE G 200
DACULA, GA 300195927
6789165840
Source: CMS National Downloadable File, September 2026.