| NPI | 1598846925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BECKER CFO 706-243-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: FL PH10568) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: FL 800009615) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-09-09 |