Kiomall, Carly Jean

Kiomall, Carly Jean is an sole proprietor health care provider with primary practice located at 11690 Alpharetta Hwy , Roswell GA 30076-3805. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kiomall, Carly Jean can be contacted via phone (770) 475-5515.

Contact Information

Primary practice address
11690 Alpharetta Hwy Roswell GA 30076-3805
Phone: (770) 475-5515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT003301 Georgia
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00684900 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X 008634 New York
Eye and Vision Services Providers / Optometrist 152W00000X OEG003398 Pennsylvania

Profile Details

NPI number 1124549332
LBN Legal business name Kiomall, Carly Jean
Credentials OD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2017
Last updated Oct 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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