| NPI | 1861735250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RANDOLPH SCHULZE Owner 912-352-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |