Organization
SOUTHEAST EYE LASER SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA JORDAN NEMETZ RN (SURGERY CENTER DIRECTOR)
(706) 296-7932
Entity
Organization
Contact information
Practice address
3215 SHRINE RD STE 8, BRUNSWICK, GA 31520-4300
(706) 296-7932
(912) 574-5824
Mailing address
3215 SHRINE RD STE 8, BRUNSWICK, GA 31520-4300
(706) 296-7932
(912) 574-5824
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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