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Organization

MT PLEASANT OPHTHALMOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA M MCMILLAN (OFFICE MANAGER)
(843) 884-2015
Entity
Organization

Contact information

Practice address
1705 BEAUCASTEL RD, MT PLEASANT, SC 29464-3657
(843) 884-2015
(843) 881-7068
Mailing address
1705 BEAUCASTEL RD, MT PLEASANT, SC 29464-3657
(843) 884-2015
(843) 881-7068

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3030
SC
Enumeration date
07/17/2006
Last updated
11/10/2008
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