Baxley Eyecare Center

NPI 1053545723 - Optometrist - 152W00000X

NPI Details
NPI 1053545723
Enumeration Date 05/11/2009
Last Updated 05/11/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name EMILY E EMILY
Position OFFICE MANAGER
Phone (912) 367-6863
Fax (912) 367-0775
Practice Location
18 LUCKIE ST STE C
SUTIE C
BAXLEY GA, 31513-0358, US
Phone (912) 367-6863
Fax (912) 367-0775
Business Location
206 MAPLE DR
VIDALIA GA, 30474-8907, US
Phone (912) 537-2020
Fax (912) 537-7935
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 1223
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According to our database, Baxley Eyecare Center NPI is 1053545723, taxonomy code is 152W00000X and license number is 1223, license state is located at Georgia. Baxley Eyecare Center physically located at 18 Luckie St Ste C, Baxley GA, 31513-0358. NPI Number 1033115704 has the healthcare provider type.

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1053545723 NPI number is provided on an as is basis without warranty of any kind. 1053545723 is maintained by the National Plan & Provider Enumeration System. The contents of Baxley Eyecare Center are for informational purposes only.