| NPI | 1285602672 |
|---|---|
| Doing Business As | SOUTHERN EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM V TILLERY President 706-736-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 2006#017184) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-08-22 |