Individual
DR. PETER CHARLES DUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
201 EDDIE CHASTEEN DR, WALTERBORO, SC 29488-5728
(843) 549-2015
(843) 549-0104
Mailing address
201 EDDIE CHASTEEN DR, WALTERBORO, SC 29488-5728
(843) 893-2504
(843) 549-0104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141697973
VISION SERVICE PLAN
SC
05
—
D09257
—
SC
Enumeration date
05/04/2006
Last updated
08/05/2009
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