Individual
DR. PHILIP DUNNE FLYNN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2757 LAUREL ST, COLUMBIA, SC 29204-2037
(803) 799-7358
(803) 779-3719
Mailing address
2757 LAUREL ST, COLUMBIA, SC 29204-2037
(803) 799-7358
(803) 779-3719
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1250
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239370001
DMEPO
SC
05
—
D12500
—
SC
01
—
U91386
NSC
SC
Enumeration date
03/14/2006
Last updated
09/08/2008
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