Organization
RETINA CONSULTANTS PC
Active
Other names
The Retina Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OKSANA M DEMEDIUK MD (VICE PRESIDENT)
(706) 481-9191
Entity
Organization
Contact information
Practice address
3520 WALTON WAY EXT, AUGUSTA, GA 30909-6605
(706) 481-9191
(706) 481-9197
Mailing address
3520 WALTON WAY EXT, AUGUSTA, GA 30909-6605
(706) 481-9191
(706) 481-9197
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55003385A
—
GA
05
—
GP2817
—
SC
05
—
GPA695
—
SC
Enumeration date
12/20/2006
Last updated
09/26/2013
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