Organization
EAST GEORGIA EYECARE LLC
Active
Other names
EAST GEORGIA EYECARE, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L GROSSWALD OD (PRESIDENT)
(770) 860-1919
Entity
Organization
Contact information
Practice address
1192 DOGWOOD DR SE, CONYERS, GA 30012-5454
(770) 860-1919
(770) 860-1607
Mailing address
1192 DOGWOOD DR., CONYERS, GA 30012-5454
(770) 860-1919
(770) 860-1607
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
07/31/2024
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