Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 0101047945 | VA |
N | 207W00000X | Ophthalmologist | 34547 | SC |
NPI | 1013098987 |
---|---|
Provider Name | Dr. Andrew Steven Eiseman |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 31/03/2016 |