NPI 1578863718

Nene M Moma, OD

Practitioner Optometrist Norcross, GA

Practice location

Address: 1522 Black Hickory Pl, Norcross, GA 30093-3214
Phone: (404) 271-8984
Fax: (770) 381-3935

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT002619 (GA)

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Registry record

NPI: 1578863718
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2010
Record last updated: 21 Oct 2010

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.