| NPI | 1023207701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WOOD Owner 770-978-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: GA 1148-T) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2024-01-17 |