Organization
SEASIDE EYE ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY T TULLY O.D. (PRESIDENT)
(843) 903-0949
Entity
Organization
Contact information
Practice address
109 FINNEGAN CT, MYRTLE BEACH, SC 29579-4205
(843) 903-0949
(843) 903-1101
Mailing address
PO BOX 50997, MYRTLE BEACH, SC 29579-0017
(843) 903-0949
(843) 903-1101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1061
SC
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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