Individual
DR. ROBERT WADE BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 OLD LEXINGTON HWY, SUITE A, CHAPIN, SC 29036-9823
(803) 345-3170
(803) 233-2882
Mailing address
PO BOX 9, 506A OLD LEXINGTON HWY, CHAPIN, SC 29036-0009
(803) 345-3170
(803) 233-2882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D06090
—
SC
Enumeration date
03/24/2006
Last updated
06/20/2013
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