Individual
ERIC NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
180 N DEAN ST, SPARTANBURG, SC 29302-1503
(864) 583-3125
Mailing address
180 N DEAN ST, SPARTANBURG, SC 29302-1503
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2120
SC
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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