Individual
CHARLENE UBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
(803) 895-6579
Mailing address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003562
VA
Other
Enumeration date
05/01/2025
Last updated
01/26/2026
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