| NPI | 1750981189 |
|---|---|
| Other Name | SOUTHEAST EYE SPECIALISTS - SODDY DAISY |
| Entity Type | Organization |
| Authorized Contact | STACEY MICHELLE CRUDUP Chief Compliance Officer 615-234-0450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-28 |