| NPI | 1770808420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH P THOMPSON Owner 678-666-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: GA 031339) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2011-12-05 |