Organization
BLATT EYE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY BAGINSKI (SURGICAL COORDINATOR)
(770) 949-3885
Entity
Organization
Contact information
Practice address
6001 PROFESSIONAL PKWY, SUITE 2000, DOUGLASVILLE, GA 30134-5602
(770) 949-3885
(770) 949-3882
Mailing address
PO BOX 2010, DOUGLASVILLE, GA 30133-2010
(770) 949-3885
(770) 949-3882
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
020964
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00190495A
—
GA
01
—
020964
GA LICENSE
GA
Enumeration date
06/10/2010
Last updated
08/10/2010
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