Organization
COASTAL EYE CARE LLC
Active
Other names
Coastal Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY HICKS HARDIN (OFFICE MANAGER)
(912) 638-8652
Entity
Organization
Contact information
Practice address
312 REDFERN VLG, ST SIMONS ISLAND, GA 31522-2522
(912) 638-8652
(912) 638-0490
Mailing address
312 REDFERN VLG, ST SIMONS ISLAND, GA 31522-2522
(912) 638-8652
(912) 638-0490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
04/20/2011
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