Organization
CAROLINA EYECARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FLYNN (PRACTICE ADMINISTRATOR)
(843) 725-0064
Entity
Organization
Contact information
Practice address
459 SPRUCE ST, WALTERBORO, SC 29488-2766
(843) 549-9500
(843) 549-6885
Mailing address
2861 TRICOM ST, N CHARLESTON, SC 29406-9172
(843) 797-5511
(843) 797-0638
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2149
—
SC
Enumeration date
07/22/2006
Last updated
01/26/2024
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