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Organization

GEORGIA EYE INSTITUTE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization

Contact information

Practice address
459 GA HIGHWAY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-1726
(912) 754-2337
Mailing address
PO BOX 931989, ATLANTA, GA 31193-0001
(912) 754-1726
(912) 754-2337

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207W00000X
Ophthalmology Physician

Other

Enumeration date
11/30/2006
Last updated
01/11/2008
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