ATLANTA EYE INTERNATIONAL SURGERY CENTER INC.
Ambulatory Health at Peachtree St, Atlanta, GA

License number
Georgia 11-C0001213
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. SHELBY RAY WILKES M.D.
Title: MEDICAL DIRECTOR
Phone: (404) 881-6417
Address
Address
830 W Peachtree St NW SUITE 101, Atlanta, GA 30308
National Provider ID: 1285655464
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ATLANTA EYE INTERNATIONAL SURGERY CENTER, INC

830 W Peachtree St NW, Atlanta, GA 30308

Registration:
Dec 21, 1999
State ID:
K952597
Business type:
Domestic Profit Corporation
CEOs:
Burnett Jettie Md (Secretary), 6170 Old National Hwy, Atlanta, GA 30349 (Physical),R. Shelby Wilkes (CEO), 830 W Peachtree St, Atlanta, GA 30308 (Physical)
Agent:
Shelby R. Wilkes,830 W Peachtree St, Atlanta, GA (Physical)

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