Organization
GAINESVILLE EYE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK MABRY CHAPMAN M.D. (MEDICAL DIRECTOR)
(770) 532-4444
Entity
Organization
Contact information
Practice address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
Mailing address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
GA
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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