Organization
BOLAND EYE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA U LAMB (FINANCIAL DIRECTOR)
(912) 352-2299
Entity
Organization
Contact information
Practice address
1615 E MONTGOMERY CROSS RD, SAVANNAH, GA 31406-5056
(912) 352-2299
(912) 352-0012
Mailing address
PO BOX 13827, SAVANNAH, GA 31416-3827
(912) 352-2299
(912) 352-0012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP3079
MEDICARE-PART B
GA
Enumeration date
05/24/2005
Last updated
03/25/2008
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