Southeast Eye Surgery Center, PC

NPI #1629120928 in Atlanta, Georgia

Provider Information

NPI Number: 1629120928
Entity Type: Organization
Organization Name: Southeast Eye Surgery Center, PC
Primary Specialty: Ophthalmology
Enumeration Date: Jan 17, 2007
Last Updated: Dec 9, 2022

Practice Location

Address: 5505 PEACHTREE DUNWOODY RD NE
Address 2: SUITE 300
City: Atlanta
State: Georgia
ZIP Code: 30342-1705
Phone: (404) 257-0814

Authorized Official

Name: JENNIFER BOYD BALDOCK
Title: OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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