Individual
DR. NATHANIEL PAUL JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
280 HARBISON BLVD STE T, COLUMBIA, SC 29212-2247
(803) 732-9200
Mailing address
34 WOODCROSS DR APT 924, COLUMBIA, SC 29212-2364
(920) 740-6207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1427
SC
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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