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 |