# GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396007282
- **Legal business name:** GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
- **Authorized official:** MRS. KATHY HEGAN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (912) 629-5929

## Contact information

- **Practice address:** 300 NEW RIVER PARKWAY, SUITE 31, HARDEEVILLE, SC 29927-4451
- **Practice address phone:** (843) 208-3937
- **Practice address fax:** (843) 208-5330
- **Mailing address:** 4720 WATERS AVE, SAVANNAH, GA 31404-6292
- **Mailing address phone:** (912) 354-4800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 10/10/2012