| NPI | 1952804346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT MURPHY President/Owner 770-310-6579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: 044030) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |