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Individual

DR. ANTHONY WILLIAM VAN ALSTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1460 OAKCREST DR APT 2205, COLUMBIA, SC 29223-1746

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1645
SC

Other

Enumeration date
07/17/2011
Last updated
07/17/2011
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