Nicole L Mardak, O.D.

NPI #1033551767 in Marietta, Georgia

Provider Information

NPI Number: 1033551767
Entity Type: Individual
Name: Nicole L Mardak, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 23, 2013
Last Updated: Jul 23, 2013

Practice Location

Address: 1545 POWERS FERRY RD SE
Address 2: SUITE 240
City: Marietta
State: Georgia
ZIP Code: 30067-9412
Phone: (770) 952-6412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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