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Carrollton Eye Clinic, PC

Ophthalmology in Carrollton, GA. Organization (NPI-2).

NPI number1346357928
StatusActive
Last updated in NPPESDec 16, 2009

Details

NPI
1346357928
Entity type
Organization (NPI-2)
Legal business name
Carrollton Eye Clinic, PC
Organization subpart
No
Enumeration date
Aug 23, 2006
Last updated
Dec 16, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology––Yes

Practice location

158 Clinic Ave
Carrollton, GA 30117-4414

Phone 770-834-1008 · Fax 770-834-2531

Mailing address

158 Clinic Ave
Carrollton, GA 30117-4414

Phone 770-834-1008 · Fax 770-834-2531

Authorized official

Angie Bradley
Administrator
7708341008

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Other Ophthalmology Physician providers in Carrollton, GA

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