Organization
NORTHSIDE VISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA F. STILING OD (SOLE MEMBER)
(864) 578-3926
Entity
Organization
Contact information
Practice address
2603 BOILING SPRINGS RD, SUITE B, BOILING SPRINGS, SC 29316-6011
(864) 578-3926
Mailing address
2603 BOILING SPRINGS RD, SUITE B, BOILING SPRINGS, SC 29316-6011
(864) 578-3926
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1554
SC
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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