| NPI | 1114192010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MIKELL LELAND Physician/Owner 843-571-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 7912) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |