Individual
DR. NICOLE P SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7367 TWO NOTCH RD, COLUMBIA, SC 29223-7619
(803) 788-1335
Mailing address
7367 TWO NOTCH RD, COLUMBIA, SC 29223-7619
(803) 788-1335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1486
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO2039
RR MEDICARE GP PTAN
SC
Enumeration date
11/09/2007
Last updated
06/11/2015
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