Individual
BASIL NORMAN COOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1201 KNOX AVE, NORTH AUGUSTA, SC 29841-4056
(803) 442-3050
(803) 202-0275
Mailing address
1371 WATERSTON DR, EVANS, GA 30809
(803) 442-3050
(803) 202-0275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
GA1419
GA
152W00000X
Optometrist
Primary
SC1226
SC
Other
Enumeration date
06/13/2007
Last updated
12/11/2012
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