| NPI | 1861433013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASROLLAH SAMIY President 803-323-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC 19895) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-02-12 |