Individual
MELODY MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 BLUE HERON RD, COLUMBIA, SC 29229-8226
(803) 419-6240
Mailing address
10060 TWO NOTCH RD, COLUMBIA, SC 29223-4396
(803) 419-6240
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
SC
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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