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Organization
CAROLINA CATARACT CLINIC
Active
Organization
CAROLINA CATARACT CLINIC
Active
Parent organization
CAROLINA CATARACT CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA CATARACT CLINIC
Authorized official
DEAN R JACOBS M.D. (OWNER)
(803) 788-2276
Entity
Organization
Contact information
Practice address
5 W RIGBY ST, MANNING, SC 29102-3227
(803) 788-2276
(803) 788-1022
Mailing address
PO BOX 23098, COLUMBIA, SC 29224-3098
(803) 788-2276
(803) 788-1022
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2752
—
SC
Enumeration date
01/08/2008
Last updated
01/22/2008
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