Individual
SARAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1310 OAKCREST DR, APT 238, COLUMBIA, SC 29223-1749
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5193
FL
Other
Enumeration date
07/24/2016
Last updated
07/24/2016
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