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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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