| NPI | 1629260492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER JENT PASCHALL President 706-299-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV TMP-02323) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2011-12-08 |