Individual
THEODORE AVERY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.D.O.
Contact information
Practice address
189A WARLEY ST, FLORENCE, SC 29501-4442
(843) 669-0888
(843) 669-4197
Mailing address
P.O. BOX 3851, FLORENCE, SC 29502
(843) 669-0888
(843) 669-4197
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
145
SC
156FX1800X
Optician
Primary
514
SC
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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