Organization
GEORGIA EYE SURGERY LLC
Active
Other names
Georgia Eye Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CENTRAEL EVANS MD (MANAGING MEMBER)
(706) 546-0170
Entity
Organization
Contact information
Practice address
1620 PRINCE AVE STE B, ATHENS, GA 30606-6008
(706) 546-0170
(706) 383-2166
Mailing address
1620 PRINCE AVE STE B, ATHENS, GA 30606-6008
(706) 546-0170
(706) 383-2166
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
08/30/2023
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