Organization
CAROLINA SPECIALTY EYE SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY FOX DUVALL MBA, BSN, RN (CLINICAL DIRECTOR)
(864) 583-6381
Entity
Organization
Contact information
Practice address
1530 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5121
(864) 583-6381
Mailing address
1530 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5121
(864) 583-6381
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2020
Last updated
04/29/2020
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