Organization
CHAMBLESS EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL H CHAMBLESS OD (OWNER)
(478) 405-7474
Entity
Organization
Contact information
Practice address
6501 PEAKE RD, BUILDING 1200, MACON, GA 31210-8042
(478) 405-7474
(478) 405-7475
Mailing address
6501 PEAKE RD, BUILDING 1200, MACON, GA 31210-8042
(478) 405-7474
(478) 405-7475
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1097
GA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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