| NPI | 1184686792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A RODRIGUEZ Nursing Director, Manager 803-254-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: SC ASF018) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2024-11-20 |