Organization
DOUGLASVILLE EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S HEMMINGS MD (PRESIDENT)
(678) 838-9999
Entity
Organization
Contact information
Practice address
6001 PROFESSIONAL PKWY, SUITE 2040, DOUGLASVILLE, GA 30134-5632
(678) 838-9999
(678) 838-9474
Mailing address
6001 PROFESSIONAL PKWY, SUITE 2040, DOUGLASVILLE, GA 30134-5632
(678) 838-9999
(678) 838-9474
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0606334
GA
332H00000X
Eyewear Supplier
0606334
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
481887156A
—
GA
01
—
DD6182
RAILROAD MEDICARE
GA
Enumeration date
02/16/2006
Last updated
01/19/2015
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