Organization
SOUTH CREEK EYE CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMUD A NASER M.D. (PRESIDENT)
(606) 376-4199
Entity
Organization
Contact information
Practice address
551 N HWY. 27, WHITLEY CITY, KY 42653
(606) 376-4199
(606) 376-9693
Mailing address
PO BOX 280, WHITLEY CITY, KY 42653-0280
(606) 376-4199
(606) 376-9693
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31817
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64318173
—
KY
Enumeration date
05/18/2010
Last updated
05/18/2010
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