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Individual

NORRIS RICK PHILBECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
9270 N HIGHWAY 17, MC CLELLANVILLE, SC 29458-9422
(843) 722-4416
(843) 720-8984
Mailing address
1544 OLDENBURG DR, 303, MOUNT PLEASANT, SC 29429-4966
(843) 722-4416
(843) 720-8984

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
509
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D05091
SC
Enumeration date
11/22/2006
Last updated
10/28/2016
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