Organization
SOUTHEAST EYE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC GILPIN (CHIEF FINANCIAL OFFICER)
(770) 804-1684
Entity
Organization
Contact information
Practice address
800 MT VERNON HWY NE, SUITE 120, ATLANTA, GA 30328
(770) 804-1684
(770) 255-1275
Mailing address
800 MT VERNON HWY NE, SUITE 120, ATLANTA, GA 30328
(770) 804-1684
(770) 255-1275
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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