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Individual

RONALD WAYNE HAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDO NCLE

Contact information

Practice address
2014 S IRBY ST, FLORENCE, SC 29505-3420
(843) 292-0401
(843) 292-0403
Mailing address
2014 S IRBY ST, FLORENCE, SC 29505-3420
(843) 292-0401
(843) 292-0403

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
206
SC

Other

Enumeration date
06/22/2022
Last updated
06/22/2022
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