Organization
SOUTHERLIN FAMILY EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SOUTHERLIN (PRESIDENT)
(864) 354-6688
Entity
Organization
Contact information
Practice address
2084 WOODRUFF RD, SUITE B, GREENVILLE, SC 29607-5939
(864) 458-8633
Mailing address
2131 WOODRUFF RD, STE 2100 #282, GREENVILLE, SC 29607-5950
(864) 458-8633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1273
SC
Other
Enumeration date
11/24/2010
Last updated
03/31/2011
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