Organization
EYELIDATL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NEIMKIN MD (MEDICAL DIRECTOR)
(404) 946-8323
Entity
Organization
Contact information
Practice address
3280 HOWELL MILL RD NW STE 321, ATLANTA, GA 30327-4109
(404) 946-8323
Mailing address
3280 HOWELL MILL RD NW STE 321, ATLANTA, GA 30327-4109
(404) 946-8323
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
06/27/2023
Last updated
12/28/2023
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