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Organization
COLUMBIA EYE CLINIC
Active
Organization
COLUMBIA EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANGSTON SPOTTS (CEO)
(803) 779-3070
Entity
Organization
Contact information
Practice address
100 SUMMIT CENTRE DR, COLUMBIA, SC 29229
(803) 252-8566
(806) 256-8881
Mailing address
1920 PICKENS ST, COLUMBIA, SC 29201-2632
(803) 779-3070
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1357
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0187
—
SC
Enumeration date
09/27/2006
Last updated
09/11/2020
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