Organization
GEORGIA EYE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN L BENEDICT MD (OWNER)
(770) 419-1393
Entity
Organization
Contact information
Practice address
653 CHEROKEE ST NE, MARIETTA, GA 30060-8911
(770) 419-1393
(770) 419-8188
Mailing address
653 CHEROKEE ST NE, MARIETTA, GA 30060-8911
(770) 419-1393
(770) 419-8188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156400001
CIGNA GOVERNMENT SERVICES
GA
Enumeration date
03/15/2007
Last updated
03/26/2008
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