MEDICARE: CHRISTINA T PHAN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT003276	GA
2	152W00000X	Optometrist	TA2420	MD

General Provider Information

NPI Number	:	1023427432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA T PHAN OD

Provider Business Mailing Address
First Line	:	2730 PEACHTREE INDUSTRIAL BLVD STE 206
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-8628
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 PEACHTREE INDUSTRIAL BLVD STE 206
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-8628
Country	:	US
Telephone Number	:	404-721-3268
Fax Number	:	404-475-4880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2014
Last Update Date	:	01/11/2024

Similar Medicare Providers

1629946645 — WHITE SMILE DENTISTRY
Practice Location Address:

2730 PEACHTREE INDUSTRIAL BLVD STE 202
DULUTH, GA
30097-8628

Practice Phone: 404-666-5746
Practice Fax:

1366857807 — ROBERT ADAM YOUNG O.D.
Practice Location Address:

2730 PEACHTREE INDUSTRIAL BLVD STE 206
DULUTH, GA
30097-8628

Practice Phone: 404-793-3937
Practice Fax: 404-793-4040

1831703289 — FIRST CLASS EYE CARE, LLC
Practice Location Address:

2730 PEACHTREE INDUSTRIAL BLVD STE 206
DULUTH, GA
30097-8628

Practice Phone: 404-793-3937
Practice Fax: 404-793-4040

1235726795 — DULUTH DENTAL CLUB, PC
Practice Location Address:

2730 PEACHTREE INDUSTRIAL BLVD STE 202
DULUTH, GA
30097-8628

Practice Phone: 678-385-9355
Practice Fax:

1902471105 — DR. DAVID ONYIRIMBA DDS
Practice Location Address:

2730 PEACHTREE INDUSTRIAL BLVD STE 202
DULUTH, GA
30097-8628

Practice Phone: 678-385-9355
Practice Fax:

1336835230 — SAGE DENTAL GROUP OF GEORGIA, LLC
Practice Location Address:

2730 PEACHTREE INDUSTRIAL BLVD STE 202
DULUTH, GA
30097-8628

Practice Phone: 561-999-9650
Practice Fax:

Directions to “ CHRISTINA T PHAN OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.