Individual
SANJANA VITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 SAVANNAH HWY, CHARLESTON, SC 29407-7826
(843) 890-8037
Mailing address
35 FOLLY ROAD BLVD, CHARLESTON, SC 29407-7586
(205) 617-5235
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2352
SC
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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