Individual
DR. STEPHANIE SOUTHERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2084 WOODRUFF RD, SUITE B, GREENVILLE, SC 29607-5939
(864) 458-8633
Mailing address
2131 WOODRUFF RD, SUITE 2100 #282, GREENVILLE, SC 29607-5950
(864) 458-8633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1273
SC
Other
Enumeration date
01/29/2007
Last updated
03/31/2011
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