Organization
DRS KELLEY & MCDOWELL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JEFFERSON MCDOWELL JR. OD (OPTOMETRIST)
(803) 475-6075
Entity
Organization
Contact information
Practice address
112 EAST HILTON ST, KERSHAW, SC 29067
(803) 475-6075
(803) 475-6077
Mailing address
PO BOX 98, KERSHAW, SC 29067
(803) 475-6075
(803) 475-6077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
613
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427693
—
SC
Enumeration date
05/10/2007
Last updated
01/31/2008
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