Individual
MICHELE DAVIDSON NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
121 LUCY LN, COLUMBIA, SC 29229-7835
(803) 217-2550
(803) 217-2548
Mailing address
PO BOX 1107, IRMO, SC 29063-1107
(803) 781-2123
(803) 749-0183
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
506
SC
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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