| NPI | 1235118621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN Y. PIERCE Administrator 912-352-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2011-10-07 |