Whalio Doctors

NPI 1629030283

Edward Gustavo Mintz, MD

Practitioner Ophthalmology Physician Lexington, SC

Practice location

Address
100 Palmetto Park Blvd, Lexington, SC 29072
Phone
(803) 806-0080
Fax
(803) 356-0668
Mailing address
PO Box 60371, Charlotte, NC 28260-0371

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 16570 (SC)

Registry record

NPI
1629030283
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Apr 2006
Record last updated
24 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.