Organization
GEORGIA RETINA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT I LAMPERT MD (OWNER/PRES)
(770) 218-1888
Entity
Organization
Contact information
Practice address
1100 JOHNSON FERRY RD NE, SUITE 593, ATLANTA, GA 30342-1709
(404) 255-9096
(404) 255-9097
Mailing address
1100 JOHNSON FERRY RD NE, SUITE 593, ATLANTA, GA 30342-1709
(404) 255-9096
(404) 255-9097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP2474
MEDICARE PROVIDER NUMBER
GA
Enumeration date
08/05/2006
Last updated
02/17/2010
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