Organization
AMEDCO NORTH CAROLINA LLC
Active
Organization
AMEDCO NORTH CAROLINA LLC
Active
Other names
Genesis Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN GRAYSON M.D. (OWNER/MEDICAL DIRECTOR)
(704) 295-0001
Entity
Organization
Contact information
Practice address
817 E MOREHEAD ST, #200, CHARLOTTE, NC 28202-2700
(704) 295-0001
(704) 295-0002
Mailing address
817 E MOREHEAD ST, #200, CHARLOTTE, NC 28202-2700
(704) 295-0001
(704) 295-0002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NC
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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