Organization
EYE INSTITUTE OF NORTH GEORGIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY M FREEMAN MD (OWNER)
(770) 339-6085
Entity
Organization
Contact information
Practice address
299 HURRICANE SHOALS RD NW, LAWRENCEVILLE, GA 30045-4420
(770) 339-6085
(770) 339-6146
Mailing address
PO BOX 830, LAWRENCEVILLE, GA 30046-0830
(770) 339-6085
(770) 339-6146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032186
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00412893A
—
GA
Enumeration date
03/27/2007
Last updated
02/22/2012
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