Individual
ISHITA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
929 N MAIN ST, LANCASTER, SC 29720-2188
(803) 285-8433
Mailing address
929 N MAIN ST, LANCASTER, SC 29720-2188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2357
SC
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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