Individual
RICHARD ALLEN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2000 COASTAL GRAND CIR, SPACE 515, MYRTLE BEACH, SC 29577-9798
(843) 839-4678
Mailing address
730 MILLDENHALL RD, MOUNT PLEASANT, SC 29464-5148
(843) 884-1768
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
708
SC
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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