NPI age
18 years
Enumerated 2008-01-28
Across 807 active ophthalmology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | A400058764 | MEDICARE PTAN |
| 05 (NY) | 03359771 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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