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Takle Eye Surgery Center Llc
Ambulatory Surgical Clinic/Center in Locust Grove, Georgia
NPI 1740776517

Takle Eye Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Locust Grove, GA and is specialized in Ambulatory Surgical. Takle Eye Surgery Center Llc practices in Locust Grove, GA. The NPI Number for Takle Eye Surgery Center Llc is 1740776517 and holds a License No. (Georgia).

The current practice location address for Takle Eye Surgery Center Llc is 1075 Bandy Pkwy, Locust Grove, GA and can be reached out via phone at 770-228-3836.

Location: 1075 Bandy Pkwy, Locust Grove, GA, 30248-7036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740776517
Provider Name
Takle Eye Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
1075 Bandy Pkwy, Locust Grove, GA, 30248-7036
Phone Number
770-228-3836
Fax Number
Provider Enumeration Date
07/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1075 Bandy Pkwy
City
Locust Grove
State
Georgia
Zip
30248
Phone Number
770-228-3836
Fax Number
person
Provider Business Mailing Address Details
Address
1075 Bandy Pkwy
City
Locust Grove
State
Georgia
Zip
30248
Phone Number
770-228-3836
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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