Organization
SOUTH GEORGIA EYE PARTNERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT H PETERMANN M.D. (OWNER)
(229) 244-2068
Entity
Organization
Contact information
Practice address
4120 N VALDOSTA RD STE A, VALDOSTA, GA 31602-4973
(229) 244-2068
Mailing address
4380 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 244-2068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257511765A
—
GA
01
—
DQ3695
RAILROAD MEDICARE
GA
Enumeration date
03/08/2010
Last updated
04/05/2022
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