Organization
GEORGIA OPHTHALMOLOGISTS LLC
Active
Other names
Georgia ophthalmologists Ambulatory Surgery center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STACY BIGLES (ADMINISTRATOR)
(770) 786-1234
Entity
Organization
Contact information
Practice address
4159 MILL ST NE, COVINGTON, GA 30014-2546
(770) 786-1234
(678) 712-6977
Mailing address
PO BOX 2898, COVINGTON, GA 30015-7898
(770) 786-1234
(678) 712-6977
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
107-075
GA
Other
Enumeration date
07/27/2011
Last updated
02/04/2016
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