Individual
PHILLIP MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1651 GLENNS BAY RD, MYRTLE BEACH, SC 29575-4836
(843) 650-2400
(843) 699-2227
Mailing address
1651 GLENNS BAY RD, MYRTLE BEACH, SC 29575-4836
(843) 650-2400
(843) 699-2227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1028
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D10281
—
SC
Enumeration date
02/27/2006
Last updated
09/18/2024
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