Organization
SURGICAL PRECISION EYE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALA KASSM D.O. (OWNER)
(281) 217-3894
Entity
Organization
Contact information
Practice address
1007 N FRASER ST, GEORGETOWN, SC 29440-2848
(281) 217-3894
Mailing address
19 CAROLINA ST, CHARLESTON, SC 29403-4787
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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