Individual
DR. KEITH G FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
855 HOUSTON NORTHCUTT BLVD, PRIMARY CARE OPTOMETRY, MT PLEASANT, SC 29464
(843) 881-2525
(843) 881-2578
Mailing address
855 HOUSTON NORTHCUTT BLVD, PRIMARY CARE OPTOMETRY, MT PLEASANT, SC 29464
(843) 881-2525
(843) 881-2578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC739
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D00739
—
SC
05
—
DA9736
—
SC
Enumeration date
12/19/2006
Last updated
07/09/2007
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