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Organization
PICKENS EYE CLINIC
Active
Organization
PICKENS EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT BLACK (INSURANCE MANAGER)
(706) 692-2878
Entity
Organization
Contact information
Practice address
360 W CHURCH ST, JASPER, GA 30143-1400
(706) 692-2878
(706) 692-2879
Mailing address
360 W CHURCH ST, JASPER, GA 30143-1400
(706) 692-2878
(706) 692-2879
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
06/24/2008
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