Organization
EYE MD SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANAN SHAH MD (PHYSICIAN)
(770) 868-0101
Entity
Organization
Contact information
Practice address
14 VISION ST STE 200, BETHLEHEM, GA 30620-1769
(770) 868-0101
Mailing address
14 VISION ST STE 200, BETHLEHEM, GA 30620-1769
(770) 868-0101
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2022
Last updated
12/22/2022
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