Organization
CAROLINA EYECARE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FLYNN (PRACTICE ADMINISTRATOR)
(843) 725-0064
Entity
Organization
Contact information
Practice address
2861 TRICOM STREET, N CHARLESTON, SC 29406-9172
(843) 725-0064
(843) 569-7885
Mailing address
2861 TRICOM STREET, N CHARLESTON, SC 29406-9172
(843) 797-5511
(843) 797-0638
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN9023
RAILROAD MEDICARE
SC
Enumeration date
01/12/2007
Last updated
01/26/2024
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