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Organization

RETINA INSTITUTE OF THE CAROLINAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NASROLLAH SAMIY MD (PRESIDENT)
(803) 323-2020
Entity
Organization

Contact information

Practice address
724 ARDEN LANE, SUITE 220, ROCK HILL, SC 29732
(803) 323-2020
(803) 323-2024
Mailing address
724 ARDEN LANE, SUITE 220, ROCK HILL, SC 29732
(803) 323-2020
(803) 323-2024

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
19895
SC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89014EA
NC
05
GP3671
SC
Enumeration date
06/09/2006
Last updated
02/12/2021
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