| |
651 S Milledge Ave, Athens, GA 30605-1250 | |
(706) 546-9290 | |
(706) 546-4938 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 651 S Milledge Ave, Athens, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245257757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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651 S Milledge Ave, Athens, GA 30605-1250 Ph: (706) 546-9290 | 651 S Milledge Ave, Athens, GA 30605-1250 Ph: (706) 546-9290 |