Individual
DR. JOHN WALTER STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 S WYLIE ST, LANCASTER, SC 29720-2353
(803) 285-7400
(803) 285-7554
Mailing address
209 S WYLIE ST, LANCASTER, SC 29720-2353
(803) 285-7400
(803) 285-7554
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10512
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1986
—
SC
Enumeration date
07/04/2005
Last updated
02/09/2012
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