Organization
EYE CARE ASSOCIATES OF MIDDLE GA, LLC
Active
Other names
Eye Care Associates of Middle Ga, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DUDLEY CHRISTIE JR. OD (OWNER)
(478) 971-1500
Entity
Organization
Contact information
Practice address
198 S HOUSTON LAKE RD, STE B, WARNER ROBINS, GA 31088-6473
(478) 971-1500
Mailing address
198 S HOUSTON LAKE RD, STE B, WARNER ROBINS, GA 31088-6473
(478) 971-1500
(478) 971-2122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088554984B
—
GA
05
—
140852100A
—
GA
Enumeration date
03/19/2007
Last updated
04/30/2008
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