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Organization

PALMETTO OCULOPLASTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BYRON DEEN MD (OWNER)
(478) 845-3515
Entity
Organization

Contact information

Practice address
613 LONG POINT RD, SUITE 201, MT PLEASANT, SC 29464-8350
(478) 845-3515
(478) 845-3516
Mailing address
211 MAIN ST, BARNESVILLE, GA 30204-1469
(478) 845-3515
(478) 845-3516

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD31662
SC

Other

Enumeration date
10/06/2016
Last updated
10/06/2016
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