Individual
MR. WILBUR CARLYLE ARDIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2118 GIN BRANCH RD, SUMTER, SC 29154-7203
(803) 450-0384
Mailing address
2118 GIN BRANCH RD., SUMTER, SC 29154
(803) 450-0384
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1074
SC
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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