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Organization

PHYSICIANS EYE SURGERY CENTER LLC

Active
Other names
Physicians' Eye Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN GP BOATWRIGHT MD (PHYSICIAN BOARD OF DIRECTORS PRESID)
(843) 571-4800
Entity
Organization

Contact information

Practice address
2060 CHARLIE HALL BLVD, SUITE 301, CHARLESTON, SC 29414
(843) 571-4800
(843) 763-7621
Mailing address
2060 CHARLIE HALL BLVD, SUITE 301, CHARLESTON, SC 29414
(843) 571-4800
(843) 763-7621

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF097
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ASC063
SC
Enumeration date
09/27/2006
Last updated
09/02/2020
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