| NPI | 1285661454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY E GALLOWAY Owner 864-943-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 7563) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 29742) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-03-05 |