Clanton, Dima Ivonne
Clanton, Dima Ivonne is an individual health care provider with primary practice located at 4166 Buford Hwy Ne Ste S6-T5 , Atlanta GA 30345-1081. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Clanton, Dima Ivonne can be contacted via phone (404) 855-3888.Contact Information
Primary practice address
4166 Buford Hwy Ne Ste S6-T5
Atlanta GA 30345-1081
Phone: (404) 855-3888
Fax: (404) 855-4388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | LDO002424 | Georgia |
Profile Details
| NPI number | 1366719957 |
|---|---|
| LBN Legal business name | Clanton, Dima Ivonne |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2011 |
| Last updated | Nov 26th, 2011 - about 15 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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