NPI 1033246525

Georgia Ophthalmology Assoc PC

Organisation Customized Equipment (DME) Snellville, GA

Practice location

Address: 1700 Tree Lane Rd Suite 135, Snellville, GA 30078-6782
Phone: (404) 298-5557
Fax: (404) 297-9480
Mailing address: 465 Winn Way Suite 140, Decatur, GA 30030-1753

Authorised official

Name: P Sanford
Title: Administrator
Phone: (404) 298-5557

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence 017845 (GA)

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Registry record

NPI: 1033246525
Entity type: Organization
NPI issued: 28 Feb 2007
Record last updated: 23 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.