Georgia Eye Institute of the Southeast, LLC

NPI #1134373004 in Vidalia, Georgia

Provider Information

NPI Number: 1134373004
Entity Type: Organization
Organization Name: Georgia Eye Institute of the Southeast, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGIA EYE INSTITUTE OF THE SOUTHEAST, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Nov 5, 2008
Last Updated: Oct 10, 2012

Practice Location

Address: 300 DURDEN ST
City: Vidalia
State: Georgia
ZIP Code: 30474-4606
Phone: (912) 537-4447

Authorized Official

Name: MRS. KATHY HEGAN
Title: PRACTICE ADMINISTRATOR
Phone: (912) 629-5929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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Organizations

Provider Name	Specialty	City
Georgia Eye Consultants, P.c.	Ophthalmology	Vidalia	AI Deep Dive
Georgia Eye Institute, Inc.	Ophthalmology	Vidalia	AI Deep Dive
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