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Organization

1162 MILITARY TRAIL LLC

Active
Other names
The Artful Eye-Seaside
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GALEN GRAYSON M.D. (OWNER/MEDICAL DIRECTOR)
(704) 295-0001
Entity
Organization

Contact information

Practice address
25 CENTRAL SQUARE, SANTA ROSA BEACH, FL 32459
(888) 264-4989
(850) 534-3022
Mailing address
25 CENTRAL SQUARE, SANTA ROSA BEACH, FL 32459
(888) 264-4989
(850) 534-3022

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
08/08/2012
Last updated
08/08/2012
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