Organization
RAINEY PROFESSIONAL ASSOCIATION
Active
Other names
LaGrange Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT HILL (OFFICE MANAGER)
(706) 882-0166
Entity
Organization
Contact information
Practice address
208 SMITH ST, LAGRANGE, GA 30240-2755
(706) 882-0166
(706) 883-7363
Mailing address
208 SMITH ST, LAGRANGE, GA 30240-2755
(706) 882-0166
(706) 883-7363
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
J508003
GA
Other
Enumeration date
05/02/2006
Last updated
12/07/2007
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