Organization
SOUTH GEORGIA EYE PARTNERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT H PETERMANN MD (OWNER)
(912) 393-0055
Entity
Organization
Contact information
Practice address
200 DOCTORS DR, SUITE 290, DOUGLAS, GA 31533-2201
(912) 393-0055
(912) 384-5976
Mailing address
4380 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 244-2068
(229) 244-2850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
02/11/2012
Last updated
02/11/2012
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