Individual
JOY ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
531 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3701
(803) 279-5277
Mailing address
531 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3701
(803) 279-5277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1650
SC
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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