Organization
ATLANTA OCULOPLASTIC SURGERY PC
Active
Other names
Atlanta Oculoplastic PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATIE FUSARO (BILLING MANAGER)
(404) 256-1500
Entity
Organization
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE 640, ATLANTA, GA 30342-1705
(404) 256-1500
(404) 256-2006
Mailing address
5505 PEACHTREE DUNWOODY RD NE, SUITE 640, ATLANTA, GA 30342-1705
(404) 256-1500
(404) 256-2006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000503753C
—
GA
05
—
000764486J
—
GA
01
—
1053364166
NPI
GA
01
—
1144273251
NPI
GA
Enumeration date
01/25/2007
Last updated
03/11/2015
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