| NPI | 1225234594 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | RICHARD A RODECKER Administrator 404-351-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |