GEORGIA EYE SURGERY LLC NPI 1720602683

NPI Information

GEORGIA EYE SURGERY LLC is an ambulatory surgical clinic center in Athens, GA. GEORGIA EYE SURGERY LLC NPI is 1720602683. The provider is registered as an organization entity type.
The provider Is Doing Business As Georgia Eye Surgery.

The provider's business location address is:

1620 PRINCE AVE STE B
ATHENS, GA
ZIP 30606-008
Phone: (706) 546-0170
Fax: (706) 383-2166

The provider's authorized official is Centrael Evans .
The authorized official title is Managing Member and has the following contact phone number (706) 546-0170.

The CLIA number assigned to this NPI record is 11D2273811 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2020 and was last updated on 8/30/2023.

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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