| NPI | 1427261759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY G JACOBY Owner, Physician 770-787-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 027835) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-08-02 |