SE COSTAL LASER SERVICES, LLC is an ambulatory surgical clinic center in Athens, GA. SE COSTAL LASER SERVICES, LLC NPI is 1215115316. The provider is registered as an organization entity type.
The provider's business location address is:
2351 COLLEGE STATION RD
ATHENS, GA
ZIP 30605-619
Phone: (520) 547-4130
Fax: (520) 258-0304
The provider's authorized official is Mary Ann Evanoski .
The authorized official title is Billing Manager and has the following contact phone number (520) 547-4130.
The enumeration date for this NPI number is 1/31/2008 and was last updated on 6/6/2008.