Individual
PHELAN GILES PIEHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9565 HIGHWAY 78, BLDG 200, LADSON, SC 29456-4118
(843) 553-2477
(843) 553-2478
Mailing address
9565 HIGHWAY 78, BLDG 200, LADSON, SC 29456-4118
(843) 553-2477
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
83038
SC
207W00000X
Ophthalmology Physician
OS017900
PA
Other
Enumeration date
02/24/2012
Last updated
08/15/2023
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