Organization
GLENNVILLE EYE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KIM MD (MEDICAL DIRECTOR)
(912) 354-4800
Entity
Organization
Contact information
Practice address
605 S VETERANS BLVD, GLENNVILLE, GA 30427-1775
(912) 354-4800
Mailing address
4720 WATERS AVE, SAVANNAH, GA 31404-6292
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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