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Organization

STUART P. CRESON INC

Active
Other names
STUART P. CRESON INC
Organization subpart
No

Provider details

NPI number
Authorized official
STUART P CRESON OD (OWNER)
(843) 215-0101
Entity
Organization

Contact information

Practice address
2751 BEAVER RUN BLVD, SUITE C, SURFSIDE BEACH, SC 29575
(843) 215-0101
(843) 215-0113
Mailing address
P O BOX 30819, MYRTLE BEACH, SC 29588
(843) 215-0101
(843) 215-0113

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1218
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D12190
SC
Enumeration date
01/06/2009
Last updated
01/06/2009
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