| NPI | 1053161976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LEONARD Member 336-485-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |