| NPI | 1104987957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE NORMAN MCLEOD President 706-651-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: GA 121167) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-04-20 |