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Organization

ICUTHERE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FOUAD S ALLOUCH OD (OWNER)
(843) 251-7162
Entity
Organization

Contact information

Practice address
2703 N KINGS HWY, MYRTLE BEACH, SC 29577-3059
(843) 251-7162
Mailing address
2703 N KINGS HWY, MYRTLE BEACH, SC 29577-3059
(843) 251-7162

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1211
SC

Other

Enumeration date
10/09/2013
Last updated
10/09/2013
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