Columbia Eye Clinic PA
Clinic/Center in Columbia, SC. Organization (NPI-2).
NPI number1720044514
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1720044514
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbia Eye Clinic PA
- Organization subpart
- No
- Enumeration date
- Apr 21, 2006
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1920 Pickens StColumbia, SC 29201
Phone 803-779-3070 · Fax 803-771-7639
Mailing address
Po Box 60371Charlotte, NC 28260-0371
Phone 803-779-3070 · Fax 803-771-7639
Authorized official
Langston Spotts
Ceo
8037793070
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