Organization
BARNESVILLE EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MURRAY DEEN MD (OWNER)
(770) 358-4156
Entity
Organization
Contact information
Practice address
211 MAIN ST, BARNESVILLE, GA 30204-1469
(770) 358-4156
Mailing address
211 MAIN ST, BARNESVILLE, GA 30204-1469
(770) 358-4156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
48999
GA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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