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Individual

DR. ELIZABETH JAMES BEATY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
208 BROAD ST, BENNETTSVILLE, SC 29512-4064
(843) 479-3331
(843) 479-3355
Mailing address
208 BROAD ST, P.O. BOX 329, BENNETTSVILLE, SC 29512-4064
(843) 479-3331
(843) 479-3355

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1224
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D12243
SC
Enumeration date
03/14/2006
Last updated
07/08/2007
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