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Organization
PEACH STATE RETINA, LLC
Active
Organization
PEACH STATE RETINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CARROLL MD (OWNER)
(478) 374-7184
Entity
Organization
Contact information
Practice address
3535 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(770) 520-8303
(478) 500-8205
Mailing address
3535 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(770) 520-8303
(478) 500-8205
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
10/27/2025
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