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Individual

DR. JOHNNY RAY DUKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
929 N MAIN ST, LANCASTER, SC 29720-2188
(803) 285-8433
(803) 285-5071
Mailing address
929 N MAIN ST, LANCASTER, SC 29720-2188
(803) 285-8433
(803) 285-5071

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
767
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DA1001
SC
Enumeration date
08/31/2006
Last updated
11/06/2015
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