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General NPI Number Information
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NPI Number | 1932126455
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Entity Type | Organization
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Legal Business Name | GEORGIA-FLORIDA EYE CENTERS, P.C.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 2375 S MAIN ST
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City | MOULTRIE
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State | GA
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Zip | 31768-6517
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Country | US
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Telephone | 229-891-2020
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Fax | 229-890-7741
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Provider Business Mailing Address
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Address Line | 2282 E PINETREE BLVD
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City | THOMASVILLE
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State | GA
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Zip | 31792-4807
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Country | US
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Telephone | 229-226-6000
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Fax | 229-226-5859
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELIZABETH LAW
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Credential |
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Telephone | 229-226-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | LDO000362
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License Number State | GA
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