Organization
ATHENS EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S JACOBS M.D. (OWNER)
(706) 549-7047
Entity
Organization
Contact information
Practice address
1080 VEND DR, SUITE 100, WATKINSVILLE, GA 30677-7751
(706) 549-7047
(706) 613-5395
Mailing address
1080 VEND DR, SUITE 100, WATKINSVILLE, GA 30677-7751
(706) 549-7047
(706) 613-5395
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
053926
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00131029
RAILROAD RETIREMENT
GA
Enumeration date
07/01/2006
Last updated
09/10/2014
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