| NPI | 1356474043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN M LANFORD Insurance COO Rdinator 864-583-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 7904) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-02-07 |