Organization
ATLANTA RETINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D'HEURLE M.D. (PRESIDENT)
(404) 351-0590
Entity
Organization
Contact information
Practice address
1720 PEACHTREE ST NW, SUITE 932, ATLANTA, GA 30309-2449
(404) 351-0590
(404) 351-0098
Mailing address
1720 PEACHTREE ST NW, SUITE 932, ATLANTA, GA 30309-2449
(404) 351-0590
(404) 351-0098
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
026096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00284501E
—
GA
01
—
180040998
RR MEDICARE
GA
Enumeration date
11/07/2007
Last updated
06/15/2008
Update your record
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