Individual
MRS. ELIZABETH COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
111 RETREAT ST, WESTMINSTER, SC 29693-1724
(864) 647-5076
(864) 647-0828
Mailing address
111 RETREAT ST, WESTMINSTER, SC 29693-1724
(864) 647-5076
(864) 647-0828
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
165252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165252
OPTICIAN
SC
Enumeration date
01/14/2011
Last updated
02/14/2011
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