Organization
EYECARE PHYSICIANS & SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN P HALL COA, CMA (PRACTICE MANAGER)
(843) 722-7705
Entity
Organization
Contact information
Practice address
125 DOUGHTY ST, SUITE 330, CHARLESTON, SC 29403-5736
(843) 722-7705
(843) 722-7149
Mailing address
125 DOUGHTY ST, SUITE 330, CHARLESTON, SC 29403-5736
(843) 722-7705
(843) 722-7149
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1975
—
SC
Enumeration date
02/14/2007
Last updated
05/14/2008
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