Organization
TRIDENT LOW VISION SPECIALTIES, LLC
Active
Organization
TRIDENT LOW VISION SPECIALTIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NACONDUS GRAYSON GAMBLE OD (OPTOMETRIST)
(843) 601-0567
Entity
Organization
Contact information
Practice address
9565 HIGHWAY 78, BUILDING 300, LADSON, SC 29456
(843) 412-2339
Mailing address
1994 PINE RIDGE CIR, APT 422, NORTH CHARLESTON, SC 29405-6435
(843) 601-0567
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1474
SC
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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