Organization
CAROLINA EYE AND EAR ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE AGOSTO (BUSINESS MANAGER)
(803) 744-4103
Entity
Organization
Contact information
Practice address
2016 SUMTER ST, COLUMBIA, SC 29201-2100
(803) 744-2700
(803) 744-7979
Mailing address
2016 SUMTER ST, COLUMBIA, SC 29201-2100
(803) 744-2700
(803) 744-7979
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0689474
SC
207Y00000X
Otolaryngology Physician
Primary
0689474
SC
Other
Enumeration date
11/14/2006
Last updated
04/20/2008
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