Blue Laser Group

NPI #1659308872 in Bogart, Georgia

Provider Information

NPI Number: 1659308872
Entity Type: Organization
Organization Name: Blue Laser Group
Primary Specialty: Ophthalmology
Enumeration Date: Jun 26, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 1747 LANGFORD DRIVE
Address 2: BUILDING 400, SUITE 101
City: Bogart
State: Georgia
ZIP Code: 30622
Phone: (706) 549-0005

Authorized Official

Name: RICHARD HOWARD BLUE, M.D.
Title: OPTHALMOLOGIST
Phone: (706) 549-0005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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