Southern Vision Care, LLC

NPI #1275104853 in Baxley, Georgia

Provider Information

NPI Number: 1275104853
Entity Type: Organization
Organization Name: Southern Vision Care, LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 6, 2021
Last Updated: Jul 6, 2021

Practice Location

Address: 24 GLENDALE AVE STE F
City: Baxley
State: Georgia
ZIP Code: 31513-0245
Phone: (912) 705-7096

Authorized Official

Name: DR. MICHAEL LLOYD MASON, OD
Title: PRESIDENT
Phone: (912) 375-2516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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