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1740776517
TAKLE EYE SURGERY CENTER LLC
LOCUST GROVE, GA
NPI
1740776517
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Entity Type
Organization
Authorized Contact
LEIV M TAKLE
Owner
770-228-3836
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2018-07-05
Last Update Date
2021-07-19
Business Address
TAKLE EYE SURGERY CENTER LLC
1075 BANDY PKWY STE 105
LOCUST GROVE, GA 30248
Phone number: 770-228-3836
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Mailing Address
TAKLE EYE SURGERY CENTER LLC
1075 BANDY PKWY STE 105
LOCUST GROVE, GA 30248-7036
Phone number: 770-282-3590
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