| NPI | 1588752240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J REMIGIO Owner 843-815-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SC 26698) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: SC 26698) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-09-17 |