Individual
DR. RICHARD WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, MS
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5200
Mailing address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2343
SC
Other
Enumeration date
04/17/2022
Last updated
06/28/2022
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