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Individual

MR. ROGER DALE TINLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED OPTICIAN

Contact information

Practice address
605 SAINT JAMES AVE STE 1, GOOSE CREEK, SC 29445-2766
(843) 553-5421
Mailing address
605 SAINT JAMES AVE STE 1, GOOSE CREEK, SC 29445-2766
(843) 553-5421

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
07/03/2022
Last updated
07/03/2022
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