Organization
SUNGATE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DANIEL FARR MD (SOLE MEMBER)
(843) 842-2020
Entity
Organization
Contact information
Practice address
10 WILLIAM POPE DR, BLUFFTON, SC 29909-7549
(843) 842-2020
(843) 705-1512
Mailing address
10 WILLIAM POPE DR, BLUFFTON, SC 29909-7549
(843) 842-2020
(843) 705-1512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
02/04/2020
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