Individual
DR. SHANE SPITTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1530 CHESTNUT ST, ORANGEBURG, SC 29115-3426
(803) 535-2000
Mailing address
1530 CHESTNUT ST, ORANGEBURG, SC 29115-3426
(803) 535-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1105
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D11057
—
SC
Enumeration date
11/17/2005
Last updated
08/22/2011
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