| NPI | 1265600035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JACKSON WAYLAND President 678-624-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: GA GA1624) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |