PEACH STATE RETINA, LLC

LOGANVILLE, GA
NPI1568253110
Entity TypeOrganization
Authorized ContactWILLIAM CARROLL
Owner
478-374-7184
Organization Subpart ?No
Primary Taxonomy207WX0107X Ophthalmology, Retina Specialist
Enumeration Date2025-05-14
Last Update Date2025-05-14
Business Address
PEACH STATE RETINA, LLC
3535 HIGHWAY 81
LOGANVILLE, GA 30052-4336
Phone number: 478-374-7184
Mailing Address
PEACH STATE RETINA, LLC
PO BOX 4007
EASTMAN, GA 31023-4007
Phone number: 478-374-7184
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WILLIAM JESSUP CARROLL