# HILTON HEAD RETINA INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508463142
- **Authorized official:** CARL WAKEFIELD BAKER MD (PRESIDENT)
- **Authorized official phone:** (270) 556-3080

## Contact information

- **Practice address:** 15 LAFAYETTE PL STE C, HILTON HEAD ISLAND, SC 29926-2277
- **Practice address phone:** (270) 556-3080
- **Mailing address:** 37 SPANISH POINTE DR, HILTON HEAD ISLAND, SC 29926-1436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2020
- **Last updated:** 10/06/2020