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Organization

ADVANTICA SOUTHWEST VIRGINIA, LLC

Active
Other names
Advantica eyeCare
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA SAUER (CHIEF OPERATIONS OFFICER)
(866) 425-2323
Entity
Organization

Contact information

Practice address
3290 PINE ORCHARD LN, SUITE D, ELLICOTT CITY, MD 21042-2374
(866) 425-2323
Mailing address
3290 PINE ORCHARD LN, SUITE D, ELLICOTT CITY, MD 21042-2374
(866) 425-2323

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Enumeration date
02/09/2007
Last updated
08/22/2020
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