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Dr. Tedrick Rasheed, O.D.

Optometrist in Conyers, GA. Individual provider (NPI-1).

NPI number1801277686
StatusActive
Last updated in NPPESOct 21, 2024

Details

NPI
1801277686
Entity type
Individual (NPI-1)
Name
Dr. Tedrick Rasheed
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 17, 2015
Certification date
Oct 21, 2024
Last updated
Oct 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT003073GAYes

Practice location

1596 Dogwood Dr Se Ste D
Conyers, GA 30013-5072

Phone 678-607-3060

Mailing address

1596 Dogwood Dr Se Ste D
Conyers, GA 30013-5072

Phone 678-607-3060

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