| NPI | 1770721565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE SCALISEGORDY Ophthalmologist 336-744-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 33196) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |