SE COSTAL LASER SERVICES, LLC

ATHENS, GA
NPI1215115316
Entity TypeOrganization
Authorized ContactMARY ANN EVANOSKI
Billing Manager
520-547-4130
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date2008-01-31
Last Update Date2008-06-06
Business Address
SE COSTAL LASER SERVICES, LLC
2351 COLLEGE STATION RD
ATHENS, GA 30605-3619
Phone number: 520-547-4130
Mailing Address
SE COSTAL LASER SERVICES, LLC
6339 E SPEEDWAY BLVD SUITE 201
TUCSON, AZ 85710-1147
Phone number: 520-547-4130
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