Organization
SUMMERVILLE PRIMARY EYECARE LLC
Active
Other names
Summerville Primary Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI MCCARTNEY OD (LLC MEMBER)
(304) 982-4964
Entity
Organization
Contact information
Practice address
450 AZALEA SQUARE BLVD, SUMMERVILLE, SC 29483-7321
(843) 486-3572
Mailing address
209 BELLFLOWER DR, SUMMERVILLE, SC 29483-6657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1850
SC
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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