| NPI | 1437108404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DANIEL FARR Medical Director 843-842-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207N00000X Dermatology | |
| 152W00000X Optometrist | |
| 237700000X Hearing Instrument Specialist (Licence: SC HAS-507) | |
| 237700000X Hearing Instrument Specialist (Licence: GA HADS-872) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2014-02-12 |