| NPI | 1811024045 |
|---|---|
| Former Legal Business Name | EAST GEORGIA EYECARE, PC |
| Entity Type | Organization |
| Authorized Contact | DAVID L GROSSWALD President 770-860-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-07-31 |