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Individual

KURTIS CAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
550 HIGHWAY 17 NORTH, NORTH MYRTLE BEACH, SC 29582-2904
(843) 281-8181
(843) 692-3094
Mailing address
P O BOX 761, LITTLE RIVER, SC 29566-0761
(843) 281-8181
(843) 281-9009

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1184
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D11841
SC
Enumeration date
08/21/2006
Last updated
10/11/2007
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