Individual
JABE THOMAS PEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2751 BEAVER RUN BLVD, SURFSIDE BEACH, SC 29575-5381
(843) 215-3694
Mailing address
2751 BEAVER RUN BLVD, SURFSIDE BEACH, SC 29575-5381
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1061
SC
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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