| NPI | 1003547803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MCGREW Clinical Director 678-429-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-10-24 |