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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
2060 CHARLIE HALL BLVD STE 201, CHARLESTON, SC 29414-6066
(843) 722-2010
(843) 723-3914
Mailing address
2861 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 797-5511
(843) 797-0638

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP2149
SC
Enumeration date
07/22/2006
Last updated
01/26/2024
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