Organization
GEORGIA OPHTHALMOLOGY ASSOC PC
Active
Parent organization
GEORGIA OPHTHALMOLOGY ASSOC PC
Other names
ASPECTS OPTICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA OPHTHALMOLOGY ASSOC PC
Authorized official
P SANFORD (ADMINISTRATOR)
(404) 298-5557
Entity
Organization
Contact information
Practice address
465 WINN WAY, SUITE 140, DECATUR, GA 30030-1753
(404) 298-5557
(404) 297-9480
Mailing address
465 WINN WAY, SUITE 140, DECATUR, GA 30030-1753
(404) 298-5557
(404) 297-9480
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
017845
GA
Other
Enumeration date
02/28/2007
Last updated
11/12/2007
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