Organization
AGAPE EYE CARE AND LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JENT PASCHALL MD (PRESIDENT)
(706) 299-5798
Entity
Organization
Contact information
Practice address
744 NOAH DR, SUITE 108, JASPER, GA 30143-8705
(706) 299-5798
(706) 299-5799
Mailing address
PO BOX 847, JASPER, GA 30143-0847
(706) 299-5798
(706) 299-5799
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TMP-02323
WV
Other
Enumeration date
08/15/2007
Last updated
12/08/2011
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