Organization
GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC.
Active
Parent organization
GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Authorized official
KATHY HEGAN (PRACTICE ADMINISTRATOR)
(912) 629-5929
Entity
Organization
Contact information
Practice address
605 S VETERANS BLVD, GLENNVILLE, GA 30427-1775
(912) 654-4700
Mailing address
4720 WATERS AVE, SAVANNAH, GA 31404-6292
(912) 354-4800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
03/04/2015
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