Organization
CAROLINA CATARACT CLINIC
Active
Parent organization
CAROLINA CATARACT CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA CATARACT CLINIC
Authorized official
DEAN R JACOBS M.D. (OWNER)
(803) 788-2276
Entity
Organization
Contact information
Practice address
115 W CHURCH ST, BATESBURG, SC 29006-2108
(803) 788-2276
(803) 788-1022
Mailing address
PO BOX 23098, COLUMBIA, SC 29224-3098
(803) 788-2276
(803) 788-1022
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3390
—
SC
Enumeration date
01/08/2008
Last updated
07/22/2008
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