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 |