| NPI | 1225094600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL ALFARO Partner 843-763-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 21620) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 28305) |
| 207W00000X Ophthalmology (Licence: SC 19110) | |
| 207W00000X Ophthalmology (Licence: SC 10062) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-10-16 |