Organization
PARK & PHILLIPS EYE CARE PA
Active
Other names
Dr Dorothy Park & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY M SALLEY (OFFICE MANAGER)
(803) 254-6306
Entity
Organization
Contact information
Practice address
1818 HAMPTON ST, COLUMBIA, SC 29201-3534
(803) 254-6306
(803) 771-6745
Mailing address
1818 HAMPTON ST, COLUMBIA, SC 29201-3534
(803) 254-6306
(803) 771-6745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC858
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DO8588
—
SC
Enumeration date
07/24/2006
Last updated
02/12/2008
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