Organization
SOUTHERN EYE CLINIC P.C.
Active
Other names
Southern Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM V TILLERY M.D. (PRESIDENT)
(706) 736-1437
Entity
Organization
Contact information
Practice address
1306 TROUPE ST, AUGUSTA, GA 30904-4755
(706) 736-1437
(706) 733-6414
Mailing address
1306 TROUPE ST, AUGUSTA, GA 30904-4755
(706) 736-1437
(706) 733-6414
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2006#017184
GA
Other
Enumeration date
03/10/2006
Last updated
08/22/2020
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