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Individual

DAVID A. GHENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
209 S WYLIE ST, LANCASTER, SC 29720-2353
(803) 285-7400
(803) 285-7554
Mailing address
209 S WYLIE ST, LANCASTER, SC 29720-2353
(803) 285-7400
(803) 285-7554

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
648
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DV6486
SC
Enumeration date
10/03/2007
Last updated
10/03/2007
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