Organization
COLUMBIA EYE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANGSTON SPOTTS (CEO)
(803) 779-3070
Entity
Organization
Contact information
Practice address
1920 PICKENS ST, COLUMBIA, SC 29201
(803) 779-3070
(803) 771-7639
Mailing address
PO BOX 60371, CHARLOTTE, NC 28260-0371
(803) 779-3070
(803) 771-7639
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0187
—
SC
Enumeration date
04/21/2006
Last updated
08/17/2020
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