NPI | 1417260142 |
---|---|
Doing Business As | DBA BROOKWOOD EYECARE |
Entity Type | Organization |
Authorized Contact | JAMILAH BIRDSONG President 770-736-7774 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 002535) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2010-07-22 |