| |
2308 Palmyra Rd, Albany, GA 31701-1324 | |
(229) 888-2395 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2308 Palmyra Rd, Albany, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922007525 | NPI | - | NPPES |
55000513A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2308 Palmyra Rd, Albany, GA 31701-1324 Ph: (229) 888-2395 | 2308 Palmyra Rd, Albany, GA 31701-1324 Ph: (229) 888-2395 |