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Organization
CAROLINA CATARACT CLINIC
Active
Organization
CAROLINA CATARACT CLINIC
Active
Other names
Advantage Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN R JACOBS MD (OWNER)
(803) 788-2276
Entity
Organization
Contact information
Practice address
214 BROAD ST, SUMTER, SC 29150-4102
(803) 775-0203
(803) 788-1022
Mailing address
PO BOX 23098, COLUMBIA, SC 29224-3098
(803) 775-0203
(803) 788-1022
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2754
—
SC
Enumeration date
09/26/2007
Last updated
02/06/2008
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