Organization
SCOTT EYE CLINIC
Active
Other names
Scott Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER WILKIN SCOTT JR. O.D. (OPTOMETRIST)
(770) 445-9866
Entity
Organization
Contact information
Practice address
4075 MARIETTA HWY STE 110, DALLAS, GA 30157-3317
(770) 445-9866
(770) 445-8244
Mailing address
4075 MARIETTA HWY STE 110, DALLAS, GA 30157-3317
(770) 445-9866
(770) 445-8244
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
1253
GA
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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