Organization
GEORGIA CENTER FOR SIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JING DONG MD (OWNER)
(706) 546-9290
Entity
Organization
Contact information
Practice address
1110 COMMERCE DR, SUITE 112, GREENSBORO, GA 30642-7444
(706) 453-1922
(706) 546-9290
Mailing address
651 S MILLEDGE AVE, ATHENS, GA 30605-1250
(706) 546-9290
(706) 546-4938
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
045447
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000791568G
—
GA
Enumeration date
12/02/2010
Last updated
12/02/2010
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