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Individual

DR. VAN FORRESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3320 N MAIN ST, ANDERSON, SC 29621-4108
(864) 642-1889
(864) 224-1768
Mailing address
105 NORTHMAN DR, COLUMBIA, SC 29210-4110

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
453031004
SC

Other

Enumeration date
06/20/2007
Last updated
02/24/2016
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