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Individual

DR. ROBERT NEAL WILLIAMS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4885 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7245
(843) 293-8101
(843) 293-8102
Mailing address
4885 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7245
(843) 293-8101
(843) 293-8102

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
NC1095
NC
152W00000X
Optometrist
Primary
SC755
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89093JX
NC
05
D00755
SC
01
NC1095
STATE LICENSE
NC
01
SC755
STATE LICENSE
SC
Enumeration date
12/15/2005
Last updated
09/09/2008
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