Organization
NORTHSIDE EYE PARTNERS, PC
Active
Other names
Marietta Vision Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL SUJI O.D. (PRESIDENT)
(678) 903-2579
Entity
Organization
Contact information
Practice address
2230 ROSWELL RD, SUITE 100, MARIETTA, GA 30062-2939
(678) 903-2579
(678) 903-2583
Mailing address
2230 ROSWELL RD, SUITE 100, MARIETTA, GA 30062-2939
(678) 903-2579
(678) 903-2583
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
05/29/2014
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