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Individual

MRS. SHERRI CHRISTINE RAST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
419 SE MAIN ST STE 300, SIMPSONVILLE, SC 29681-2676
(864) 417-2345
(864) 399-9519
Mailing address
1803 HARTNESS DR, GREENVILLE, SC 29615-5494
(361) 688-7830

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1964
SC
152W00000X
Optometrist
Primary
5396TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092998602
TX
Enumeration date
11/06/2006
Last updated
01/16/2019
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