Individual
MRS. VICKI W CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
217 SAINT JAMES AVE, STE. A5, GOOSE CREEK, SC 29445-2938
(843) 797-5711
(843) 797-5712
Mailing address
217 ST. JAMES AVENUE, STE. A5, GOOSE CREEK, SC 29445
(843) 797-5711
(843) 797-5712
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DV5352
—
SC
Enumeration date
03/16/2007
Last updated
07/09/2007
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