Organization
FAMILY EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT MICHAEL MAGLIOCCO OD (PRESIDENT OWNER)
(770) 591-3511
Entity
Organization
Contact information
Practice address
2230 TOWNE LAKE PKWY, BUILDING 700 SUITE 100, WOODSTOCK, GA 30189-5540
(770) 591-3511
Mailing address
2230 TOWNE LAKE PKWY, BUILDING 700 SUITE 100, WOODSTOCK, GA 30189-5540
(770) 591-3511
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
GA2071
GA
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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