Organization
R. E. JIMISON
Active
Other names
raymond jimison
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HUMM JIMISON (OPTICIAN)
(843) 524-8302
Entity
Organization
Contact information
Practice address
11 ROBERT SMALLS PKWY STE H, BEAUFORT, SC 29906-4216
(843) 524-8302
Mailing address
11 ROBERT SMALLS PKWY STE H, BEAUFORT, SC 29906-4216
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
634
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140732
—
SC
Enumeration date
10/25/2007
Last updated
04/08/2011
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