Organization
DILLON EYECARE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MCKETHAN R GADDY OD (OPTOMETRIST)
(843) 774-2020
Entity
Organization
Contact information
Practice address
300 E MONROE ST, DILLON, SC 29536-2560
(843) 774-2020
(843) 774-3391
Mailing address
300 E MONROE ST, DILLON, SC 29536-2560
(843) 774-2020
(843) 774-3391
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
631
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM4529
RAILROAD RETIREMENT MEDIC
SC
05
—
DA9702
—
SC
Enumeration date
08/04/2006
Last updated
12/31/2009
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