| NPI | 1205892783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GLENN GROSS President 803-736-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2017-08-04 |