Organization
SOUTHERN VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LLOYD MASON OD (PRESIDENT)
(912) 375-2516
Entity
Organization
Contact information
Practice address
24 GLENDALE AVE STE F, BAXLEY, GA 31513-0245
(912) 705-7096
(912) 705-7097
Mailing address
24 GLENDALE AVE STE F, BAXLEY, GA 31513-0245
(912) 705-7096
(912) 705-7097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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