| NPI | 1447870688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY FOX DUVALL Clinical Director 864-583-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-29 |