Organization
GEORGIA OPHTHALMOLOGISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY BIGLES (ADMIN)
(770) 786-1234
Entity
Organization
Contact information
Practice address
1747 LANGFORD DR, BUILDING 400 SUITE 101, WATKINSVILLE, GA 30677
(706) 549-0005
(678) 712-6977
Mailing address
PO BOX 2898, COVINGTON, GA 30015-7898
(770) 786-1234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT002463
GA
207W00000X
Ophthalmology Physician
Primary
GA063170
GA
Other
Enumeration date
10/10/2017
Last updated
03/17/2018
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