| NPI | 1497809248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE RAYMOND DEBARGE President 423-403-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease |
| 207W00000X Ophthalmology (Licence: GA 035850) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-08-11 |