Individual
TERESA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10048 CHARLOTTE HWY, INDIAN LAND, SC 29707-7135
(803) 548-6622
(803) 396-9689
Mailing address
10048 CHARLOTTE HWY, INDIAN LAND, SC 29707-7135
(803) 548-6622
(803) 396-9689
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
938
SC
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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