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1760979066
COASTAL EYE MANAGEMENT LLC
MURRELLS INLET, SC
NPI
1760979066
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Entity Type
Organization
Authorized Contact
RYAN SHAKE
Doctor
843-357-2020
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: SC 1934)
Enumeration Date
2018-04-23
Last Update Date
2018-06-16
Business Address
COASTAL EYE MANAGEMENT LLC
12060 HIGHWAY 17 BYP UNIT B
MURRELLS INLET, SC 29576-9401
Phone number: 843-357-2020
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Mailing Address
COASTAL EYE MANAGEMENT LLC
1255 LINKS RD
MYRTLE BEACH, SC 29575-5810
Phone number: 843-357-2020
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