Organization
COLUMBIA EYE SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L HIEBERT CEO (CEO)
(803) 779-3070
Entity
Organization
Contact information
Practice address
1920 PICKENS ST, COLUMBIA, SC 29201
(803) 254-7732
(803) 748-7199
Mailing address
1920 PICKENS ST, COLUMBIA, SC 29201
(803) 254-7732
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0169
—
SC
Enumeration date
10/05/2006
Last updated
08/22/2020
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