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Individual

MRS. TABITHA MARTINA COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICENSED OPTICIAN

Contact information

Practice address
4875 OLD YORK RD, ROCK HILL, SC 29732-8127
(803) 323-2097
(803) 980-0076
Mailing address
4875 OLD YORK RD, ROCK HILL, SC 29732-8127
(803) 323-2097
(803) 980-0076

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1213
SC

Other

Enumeration date
06/10/2022
Last updated
06/10/2022
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