Organization
ADVANCED EYE CARE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE RAYMOND DEBARGE MD (PRESIDENT)
(423) 403-4202
Entity
Organization
Contact information
Practice address
980 HIGHWAY 28 STE 104, JASPER, TN 37347-3696
(423) 403-4202
(423) 403-4207
Mailing address
980 HIGHWAY 28 STE 104, JASPER, TN 37347-3696
(423) 403-4202
(423) 403-4207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
035850
GA
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
—
—
Other
Enumeration date
01/22/2007
Last updated
08/11/2021
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