Individual
DR. SANDRA L KOZEL-DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4000 HIGHWAY 9 E, SUITE 260, LITTLE RIVER, SC 29566-7833
(843) 390-0058
(843) 390-0999
Mailing address
906 BUR OAK CT, APT D, MYRTLE BEACH, SC 29579-5273
(843) 333-5436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1241
NE
152W00000X
Optometrist
Primary
1409
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D14090
—
SC
Enumeration date
09/20/2005
Last updated
10/02/2008
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