Individual
TASHA CLAUDETTE MCCLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC, NCLEC, LDO
Contact information
Practice address
651 HIGHWAY 28 BYP, ANDERSON, SC 29624-3009
(864) 261-8171
Mailing address
651 HIGHWAY 28 BYP, ANDERSON, SC 29624-3009
(864) 261-8171
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1390
SC
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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