Organization
ATLANTIC EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN J PLY MD (OWNER)
(843) 651-8200
Entity
Organization
Contact information
Practice address
8028 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7236
(843) 347-7238
Mailing address
3911A HIGHWAY 17, MURRELLS INLET, SC 29576-5014
(843) 651-8200
(843) 651-8236
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16671
SC
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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