| NPI | 1932385960 |
|---|---|
| Doing Business As | D/B/A DAVIDSON EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | P CARL DAVIDSON Owner 706-291-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 29861) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 029861) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-07-17 |