Individual
MICHAEL DAVID SPULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1774 PAXVILLE HWY, MANNING, SC 29102-5071
(803) 435-2494
(803) 435-8765
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2208
SC
152W00000X
Optometrist
TA3062
MD
Other
Enumeration date
07/13/2020
Last updated
04/07/2025
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