| NPI | 1396044483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRITTIA WILFORD Manager 404-582-0096 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: GA GA041970) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: GA GA041970) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-06-27 |