| NPI | 1033439252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BAGINSKI Surgical COO Rdinator 770-949-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 020964) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-08-10 |