| NPI | 1669651055 |
|---|---|
| Doing Business As | GEORGIA MOUNTAIN OPHTHALMOLOGY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW CAMP Administrator 706-253-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2010-11-22 |