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General NPI Number Information
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NPI Number | 1982520086
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Entity Type | Organization
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Legal Business Name | GRIFFIN EYE SURGERY CENTER
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 900 MEDICAL CIR
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City | MYRTLE BEACH
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State | SC
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Zip | 29572-4114
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Country | US
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Telephone | 843-449-6414
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Fax | 843-449-7614
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Provider Business Mailing Address
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Address Line | 900 MEDICAL CIR
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City | MYRTLE BEACH
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State | SC
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Zip | 29572-4114
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Country | US
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Telephone | 843-449-6414
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Fax | 843-449-7614
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DAVID PREVATT
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Credential | BSN, RN
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Telephone | 843-449-6414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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