Individual
DR. SOLITA JONES BERGELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2672 DAVID H MCLEOD BLVD, FLORENCE, SC 29501-4042
(843) 773-2758
Mailing address
2672 DAVID H MCLEOD BLVD, FLORENCE, SC 29501-4042
(843) 773-2758
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1835
SC
Other
Enumeration date
07/16/2014
Last updated
08/11/2016
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