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Organization

COLUMBIA EYE SURG CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE A RODRIGUEZ APRN (NURSING DIRECTOR, MANAGER)
(803) 254-7732
Entity
Organization

Contact information

Practice address
1920 PICKENS ST, COLUMBIA, SC 29201-2632
(803) 779-3070
(803) 771-7639
Mailing address
PO BOX 60251, CHARLOTTE, NC 28260-0251
(803) 779-3070
(803) 771-7639

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
ASF018
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
410166
SC
Enumeration date
04/06/2006
Last updated
11/20/2024
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