| NPI | 1639398472 |
|---|---|
| Former Legal Business Name | BEAUFORT EYE CLINIC P A |
| Entity Type | Organization |
| Authorized Contact | DEMETRAJANE KOKINAKIS Owner/Physician 843-522-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-09-29 |