Southern Retina LLC

NPI #1710028287 in Savannah, Georgia

Provider Information

NPI Number: 1710028287
Entity Type: Organization
Organization Name: Southern Retina LLC
Primary Specialty: Surgery
Enumeration Date: Feb 9, 2007
Last Updated: Oct 25, 2007

Practice Location

Address: 5354 REYNOLDS ST
Address 2: SUITE 317
City: Savannah
State: Georgia
ZIP Code: 31405-6007
Phone: (912) 353-7900

Authorized Official

Name: DR. CHARLES L HARRIS, MD
Title: OWNER
Phone: (912) 353-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Surgery	208600000X	Primary

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