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Organization

ADVANCED EYE ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALFRED M LONG JR. OD (PHYSICIAN)
(770) 422-8002
Entity
Organization

Contact information

Practice address
2645 DALLAS HWY SW, SUITE 100, MARIETTA, GA 30064-2541
(770) 422-8002
(770) 422-4618
Mailing address
2645 DALLAS HWY SW, SUITE 100, MARIETTA, GA 30064-2541
(770) 422-8002
(770) 422-4618

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
152WOOOOOX
GA

Other

Enumeration date
07/13/2009
Last updated
02/22/2016
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