Mira Kalman Sivan, OD
NPI #1407013840 in Stone Mountain, Georgia
Provider Information
- NPI Number
- 1407013840
- Entity Type
- Individual
- Name
- Mira Kalman Sivan, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- May 22, 2008
- Last Updated
- May 22, 2008
Practice Location
- Address
- 5462 MEMORIAL DR
- Address 2
- SUITE 101
- City
- Stone Mountain
- State
- Georgia
- ZIP Code
- 30083-3239
- Phone
- (404) 296-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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