Organization Name: | CARLIN VISION SURGERY CENTER LLC |
NPI Number: | 1013222926 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID S CARLIN (MEDICAL DIRECTOR) |
Mailing Address: | 2347 Lenora Church Rd Snellville |
State: | GA US |
Postal Code: | 300783232 |
Phone Number: | 7709792020 |
Fax Number: | 7709783321 |
NPI Enumeration Date: | 08/16/2010 |
NPI Last Update Date: | 08/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |