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Individual

TANNER DEAN SEMONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
9565 HIGHWAY 78 BLDG 200, LADSON, SC 29456-4118
(843) 553-2477
(843) 553-2478
Mailing address
9565 HIGHWAY 78 BLDG 200, LADSON, SC 29456-4118
(843) 553-2477
(843) 553-2478

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2542
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D25426
SC
Enumeration date
06/12/2025
Last updated
07/09/2026
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