Organization
PALMETTO OPHTHALMOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SANFORD KEISLER MD (OWNER/PRESIDENT)
(803) 359-8777
Entity
Organization
Contact information
Practice address
340 W BUTLER ST, LEXINGTON, SC 29072-2606
(803) 359-8777
(803) 359-1513
Mailing address
340 W BUTLER ST, LEXINGTON, SC 29072-2606
(803) 359-8777
(803) 359-1513
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113326
—
SC
05
—
138381
—
SC
05
—
GP2314
—
SC
05
—
PC3867
—
SC
05
—
Q91004
—
SC
Enumeration date
05/28/2006
Last updated
10/11/2007
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