Organization
BEATY EYE CLINIC & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA KNIGHT BEATY (OFFICE MANAGER)
(843) 479-3331
Entity
Organization
Contact information
Practice address
208 BROAD ST, BENNETTSVILLE, SC 29512-4064
(843) 479-3331
(843) 479-3355
Mailing address
208 BROAD ST, BENNETTSVILLE, SC 29512-4064
(843) 479-3331
(843) 479-3355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9750
—
SC
Enumeration date
03/14/2006
Last updated
12/10/2008
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