NPI | 1629487814 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE K. ESCARAVAGE Member/Manager 910-444-0707 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 200600645) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2018-10-15 |