Georgia Ophthalmology Referral Center, LLC

NPI #1174772859 in Kennesaw, Georgia

Provider Information

NPI Number: 1174772859
Entity Type: Organization
Organization Name: Georgia Ophthalmology Referral Center, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Sep 17, 2008
Last Updated: Sep 17, 2008

Practice Location

Address: 1415 WOOTEN LAKE RD NW
Address 2: SUITE 130
City: Kennesaw
State: Georgia
ZIP Code: 30144-1336
Phone: (866) 527-3722

Authorized Official

Name: REBECCA A GARRETT
Title: CREDENTIALING
Phone: (678) 284-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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