Organization
THE EYE & FACIAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLOTTE R. THOMPSON M. D. (PHYSICIAN)
(803) 788-8883
Entity
Organization
Contact information
Practice address
3000 NE MEDICAL PARK, SUITE 205, COLUMBIA, SC 29223-6251
(803) 788-8883
(803) 699-1788
Mailing address
3000 NE MEDICAL PARK, SUITE 205, COLUMBIA, SC 29223-6251
(803) 788-8883
(803) 699-1788
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
22066
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22066
SC MED LIC #
SC
05
—
T62429
—
SC
Enumeration date
03/21/2006
Last updated
08/22/2020
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