Organization
SOUTHEAST EYE SURGERY CENTER, PC
Active
Other names
Omni Eye Services
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE 300, ATLANTA, GA 30342-1705
(404) 257-0814
(404) 843-8521
Mailing address
5505 PEACHTREE DUNWOODY RD NE, SUITE 300, ATLANTA, GA 30342-1705
(404) 257-0814
(404) 843-8521
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
12/09/2022
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