Organization
TOSCA LUANN BLACK
Active
Other names
Hartwell Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TOSCA LUANN BLACK (OWNER)
(404) 310-7359
Entity
Organization
Contact information
Practice address
95 N JACKSON ST, HARTWELL, GA 30643-7908
(404) 310-7359
Mailing address
95 N JACKSON ST, C/O PO BOX 126, HARTWELL, GA 30643
(404) 310-7359
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OPTO988-T
GA
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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