| NPI | 1972607059 |
|---|---|
| Doing Business As | PEDIATRIC OPHTHALMOLOGY |
| Entity Type | Organization |
| Authorized Contact | GINA MICHELLE HILLERS Credentialing Specialist 864-560-4057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-10-25 |