Individual
DR. FOUAD S ALLOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2703 N KINGS HWY, MYRTLE BEACH, SC 29577-3011
(843) 448-1596
(843) 448-4793
Mailing address
2703 N KINGS HWY, MYRTLE BEACH, SC 29577-3011
(843) 448-1596
(843) 448-4793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D12118
—
SC
01
—
U86668995
MEDICARE PTAN
SC
Enumeration date
11/16/2006
Last updated
02/03/2011
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