Georgia Eye Institute of the Southeast, LLC

NPI #1629222583 in Claxton, Georgia

Provider Information

NPI Number: 1629222583
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: 109 S DUVAL ST
City: Claxton
State: Georgia
ZIP Code: 30417-2029
Phone: (912) 739-4031

Authorized Official

Name: MRS. KATHY HEGAN
Title: PRACTICE ADMINISTRATOR
Phone: 91262695929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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