Organization
THOMAS EYE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KAUFMAN MD (MEDICAL DIRECTOR)
(678) 781-7388
Entity
Organization
Contact information
Practice address
5995 BARFIELD RD, SANDY SPRINGS, GA 30328-4411
(404) 705-5757
(678) 781-7324
Mailing address
5995 BARFIELD RD, SANDY SPRINGS, GA 30328-4411
(404) 705-5757
(678) 781-7324
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060-306
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011878278A
—
GA
01
—
P00252405
RR MEDICARE
GA
Enumeration date
07/20/2005
Last updated
07/14/2022
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