Individual
MITCHELL TERRY KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 HIGHWAY 274, CLOVER, SC 29710-6045
(803) 619-7025
(803) 831-5049
Mailing address
175 HIGHWAY 274, CLOVER, SC 29710-6045
(803) 619-7025
(803) 831-5049
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
SC
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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