BAXLEY EYECARE CENTER
Optometry at Luckie St, Baxley, GA

License number
Georgia 1223
Category
Optometry
Type
Optometrist
Owner
Name: EMILY E KANAVAGE
Title: OFFICE MANAGER
Phone: (912) 537-2020
Address
Address 2
18 Luckie St, Baxley, GA 31513
206 Maple Dr, Vidalia, GA 30474
National Provider ID: 1053545723
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BAXLEY EYECARE CENTER at bizstanding.com

BAXLEY EYECARE CENTER, PC

18 Luckie St SUITE C, Baxley, GA 31513

Registration:
May 1, 2009
State ID:
09031272
Business type:
Domestic Professional Corporation
CFOs:
Calvin Darel Edwards (CEO), 206 Maple Dr, Vidalia, GA 30474 (Physical),Carl George O'quinn (Secretary), 206 Maple Dr, Vidalia, GA 30474 (Physical),N Inna Edwards (CFO), 206 Maple Dr, Vidalia, GA 30474 (Physical)
Agent:
Darel C Edwards,206 Maple Dr Vidalia Ga, Vidalia, GA 30474 (Physical)

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