Whalio Doctors

NPI 1427159821

Phi Phi Bang, OD

Practitioner Corneal and Contact Management Optometrist Smyrna, GA

Practice location

Address
1675 Cumberland Pkwy SE Suite #103, Smyrna, GA 30080-6359
Phone
(770) 438-0202
Mailing address
15933 Clayton Rd Suite 201, Ballwin, MO 63011-2172

Registered specialties

Corneal and Contact Management Optometrist Primary
Eye and Vision Services Providers Taxonomy 152WC0802X Licence 2015 (GA)

Registry record

NPI
1427159821
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Sep 2006
Record last updated
24 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.