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Organization
EYE SPECIALISTS OF AMERICA, LLC
Active
Organization
EYE SPECIALISTS OF AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CENTRAEL T EVANS MD (MANAGING MEMBER)
(706) 546-0170
Entity
Organization
Contact information
Practice address
1620 PRINCE AVE, ATHENS, GA 30606-6008
(706) 546-0170
(706) 546-5015
Mailing address
1620 PRINCE AVE, ATHENS, GA 30606-6008
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/31/2023
Last updated
07/18/2023
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