| NPI Details | |
|---|---|
| NPI | 1215140793 |
| Enumeration Date | 05/08/2007 |
| Last Updated | 08/07/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | TRACY P. TRACY |
| Position | OWNER |
| Phone | (843) 756-1262 |
| Fax | (843) 756-6667 |
| Practice Location | |
|---|---|
| 3819 MAIN ST LORIS SC, 29569-3017, US |
|
| Phone | (843) 756-1262 |
| Fax | (843) 756-6667 |
| Business Location | |
|---|---|
| 3819 MAIN ST LORIS SC, 29569-3017, US |
|
| Phone | (843) 756-1262 |
| Fax | (843) 756-6667 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | South Carolina |
| License Number | 860 |
| Remove 1215140793 NPI Number | |
According to our database, Loris Eye Associates, P. C. NPI is 1215140793, taxonomy code is 152W00000X and license number is 860, license state is located at South Carolina. Loris Eye Associates, P. C. physically located at 3819 Main St, Loris SC, 29569-3017. NPI Number 1033115704 has the healthcare provider type.
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1215140793 NPI number is provided on an as is basis without warranty of any kind. 1215140793 is maintained by the National Plan & Provider Enumeration System. The contents of Loris Eye Associates, P. C. are for informational purposes only.
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