Individual
NANCY MAHLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
931 TIGER BLVD, CLEMSON, SC 29631-1419
(864) 654-6706
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582283225
BCBS
SC
05
—
D10548
—
SC
Enumeration date
03/16/2006
Last updated
04/23/2026
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