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Organization

MAGNOLIA EYE ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE R CUSTER O.D. (PRESIDENT)
(843) 424-2553
Entity
Organization

Contact information

Practice address
2701 DAVID MCLEOD BLVD, FLORENCE, SC 29501
(843) 664-2000
Mailing address
9547 EDGERTON DR APT 901, MYRTLE BEACH, SC 29572-5422
(843) 424-2553

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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