Individual
JILL SELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 COLUMBIANA CIR STE 1154, COLUMBIA, SC 29212-2266
(803) 784-2010
Mailing address
100 COLUMBIANA CIR STE 1154, COLUMBIA, SC 29212-2266
(803) 784-2010
(803) 784-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.2179OPT
SC
Other
Enumeration date
04/04/2020
Last updated
06/25/2021
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