| NPI | 1902406572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASANALI V FATTEH President/Owner 706-951-4753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2020-10-31 |