Organization · Type 2 NPI
Takle Eye Surgery Center LLC
Ambulatory Surgical Clinic/Center · Locust Grove, GA
NPI number
1740776517
Active
Practice location
1075 Bandy Pkwy, Ste 105
Locust Grove, GA 30248
Mailing address
1075 Bandy Pkwy Ste 105
Locust Grove, GA 30248-7036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Locust Grove
About NPI 1740776517
Takle Eye Surgery Center LLC's National Provider Identifier is 1740776517, issued on Jul 5, 2018. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Locust Grove, GA. The record was last updated on Jul 19, 2021.