institution
Eye Surgery Center Of Augusta, Llc
Ophthalmologic Surgery Clinic/Center in Augusta, Georgia
NPI 1104987957

Eye Surgery Center Of Augusta, Llc is a Ophthalmologic Surgery Clinic/Center based in Augusta, GA and is specialized in Ophthalmologic Surgery. Eye Surgery Center Of Augusta, Llc practices in Augusta, GA. The NPI Number for Eye Surgery Center Of Augusta, Llc is 1104987957 and holds a License No. 121167 (Georgia).

The current practice location address for Eye Surgery Center Of Augusta, Llc is 3658 J Dewey Gray Cir, Augusta, GA and can be reached out via phone at 706-651-3937 and via fax at 706-863-3102.

Location: 3658 J Dewey Gray Cir, Augusta, GA, 30909-6424
institution
Provider Profile Details
NPI Number
1104987957
Provider Name
Eye Surgery Center Of Augusta, Llc
Credential
Provider Entity Type
Organization
Address
3658 J Dewey Gray Cir, Augusta, GA, 30909-6424
Phone Number
706-651-3937
Fax Number
706-863-3102
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10040055 01 AMERIGROUP MGD MEDICAID
324827 01 WELLCARE MANAGED MEDICAID
7300002 01 AETNA PPO, STANDARD
ASC020 05 SC
00830101A 05 GA
2189908 01 AETNA HMO
institution
Provider Business Practice Location Address Details
Address
3658 J Dewey Gray Cir
City
State
Zip
30909-6424
Phone Number
706-651-3937
Fax Number
706-863-3102
person
Provider Business Mailing Address Details
Address
3658 J Dewey Gray Cir
City
State
Zip
30909-6424
Phone Number
706-651-3937
Fax Number
706-863-3102
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ophthalmologic Surgery
Taxonomy
License No.
121167 (Georgia)
Definition
Definition to come...
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