Individual
JULIE WASACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12 FARMFIELD AVE STE C, CHARLESTON, SC 29407-7755
(843) 763-2270
Mailing address
392 HORIZON CT, HARDEEVILLE, SC 29927-1615
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2536
SC
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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