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Columbia Eye Surgery Center INC

Clinic/Center, Ambulatory Surgical in Columbia, SC. Organization (NPI-2).

NPI number1720175573
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1720175573
Entity type
Organization (NPI-2)
Legal business name
Columbia Eye Surgery Center INC
Organization subpart
No
Enumeration date
Oct 5, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical040627740SCYes

Practice location

1920 Pickens St
Columbia, SC 29201

Phone 803-254-7732 · Fax 803-748-7199

Mailing address

1920 Pickens St
Columbia, SC 29201

Phone 803-254-7732

Authorized official

William L Hiebert
Ceo
8037793070

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