Individual
MELISSA ELAINA PRAYLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 AUGUSTA RD, WEST COLUMBIA, SC 29169
(803) 740-2635
Mailing address
532 WILKINSON LN, COLUMBIA, SC 29229
(803) 331-7422
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1184
SC
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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