| NPI | 1730441601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANK CERAVOLO President 706-323-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AL MD25848) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S827TA355) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-09-24 |