Organization
SOUTH GEORGIA EYE PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT H PETERMANN MD (OWNER)
(229) 391-4126
Entity
Organization
Contact information
Practice address
416 TIFT AVE N, TIFTON, GA 31794-4466
(229) 391-4180
(229) 391-2929
Mailing address
4380 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 244-2068
(229) 244-2850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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