NPI | 1013987346 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK HARLEY DENNIS Owner/Sole Proprietor 843-577-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 14612) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2020-08-22 |