Individual
DR. NICOLETTE PAIGE RUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1129 WOODROW ST, COLUMBIA, SC 29205-1224
(646) 915-2553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.2347
SC
Other
Enumeration date
06/02/2022
Last updated
07/20/2022
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