ALVA S PACK OD

ALVA S PACK III PA

Dr ALVA S PACK OD is a male medical professional, specializing in Optometry. He graduated in 1969 from Southern College Of Optometry.

Contact

ALVA S PACK III PA

399 E HENRY ST
SPARTANBURG
SC
293022639

Tel: 8645850208

ALVA S PACK OD Information

Npi 1407811573
Pac Id 2062428477
Professional Enrollment Id I20060222000479
Last Name PACK
First Name ALVA
Middle Name S
Suffix
Gender M
Credential OD
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1969
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALVA S PACK III PA
Group Practice Pac Id 5698781011
Number Of Group Practice Members 2
Line 1 Street Address 399 E HENRY ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SPARTANBURG
State SC
Zip Code 293022639
Phone Number 8645850208
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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