Individual
TRACEY LYNN WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 SEA ISLAND PKWY, BEAUFORT, SC 29907-1535
(843) 489-3213
(843) 470-5087
Mailing address
265 SEA ISLAND PKWY, BEAUFORT, SC 29907-1535
(843) 489-3213
(843) 470-5087
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1455
SC
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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