| NPI | 1598972069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VANLANINGHAM Billing Manager 770-364-8186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA OPT001307) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-03-18 |