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Kim Chau Raharja, O.D. Valid NPI

Individual provider · Optometrist · Chamblee, GA

NPI
1720094527
Type
Individual (Type 1)
Primary specialty
Optometrist
Specialty group
Eye and Vision Services Providers
Taxonomy code
152W00000X
License number
OPT002319 (GA)
Sex
Female
Sole proprietor
Yes
Enumerated
2006-08-01
Last updated
2026-02-06
Practice location
1841 Chamblee Tucker Rd Ste 1-4b
Chamblee, GA 30341-2784
(770) 409-8977

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