ATHENS EYE SURGERY CENTERLLC NPI 1457683914

NPI Information

ATHENS EYE SURGERY CENTER,LLC is an ambulatory surgical clinic center in Athens, GA. ATHENS EYE SURGERY CENTER,LLC NPI is 1457683914. The provider is registered as an organization entity type.

The provider's business location address is:

105 TRINITY PL
STE B
ATHENS, GA
ZIP 30607-112
Phone: (706) 549-9993
Fax: (706) 286-7045

The provider's authorized official is Anthony L Demarco .
The authorized official title is Medical Manager and has the following contact phone number (706) 549-9993.

The CLIA number assigned to this NPI record is 11D2008322 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2010 and was last updated on 6/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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