NPI | 1780851170 |
---|---|
Doing Business As | ATHENS FAMILY VISION CLINIC |
Entity Type | Organization |
Authorized Contact | RUSSELL DOUGLAS SPRINGER CEO 706-543-3599 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA 001619) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2011-10-15 |