Dr. Keith G Farley, OD
Optometrist in Mt Pleasant, SC. Individual provider (NPI-1).
NPI number1477616647
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1477616647
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keith G Farley
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | SC739 | SC | Yes |
Practice location
855 Houston Northcutt BlvdPrimary Care Optometry
Mt Pleasant, SC 29464
Phone 843-881-2525 · Fax 843-881-2578
Mailing address
855 Houston Northcutt BlvdPrimary Care Optometry
Mt Pleasant, SC 29464
Phone 843-881-2525 · Fax 843-881-2578
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