NPI | 1194988220 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOT ALLEN WALL President 229-435-8799 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: GA 047-325) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2008-07-09 |