Organization
CHILDRENS EYE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GUY WILLIAM TEED MD (OWNER)
(336) 834-2220
Entity
Organization
Contact information
Practice address
9565 HIGHWAY 78, BLDG 600, LADSON, SC 29456-4118
(843) 202-0288
(843) 202-0284
Mailing address
9565 HIGHWAY 78, BLDG 600, LADSON, SC 29456-4118
(843) 202-0288
(843) 202-0284
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29836
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5959
—
SC
Enumeration date
06/19/2012
Last updated
10/02/2012
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