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1629851886
KENNETH DAVID CORNWALL
SMYRNA, GA
NPI
1629851886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: GA OPT003524)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
KENNETH DAVID CORNWALL OD
3240 S COBB DR SE STE 1000
SMYRNA, GA 30080-4112
Phone number: 770-701-3051
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Mailing Address
KENNETH DAVID CORNWALL OD
2735 PACES FERRY RD SE APT 413
ATLANTA, GA 30339-7639
Phone number: 404-783-2208
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