Individual
SARA WANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1283 BROAD ST, SUMTER, SC 29150-1973
(803) 905-5525
(803) 905-5527
Mailing address
1283 BROAD ST, SUMTER, SC 29150-1973
(803) 905-5525
(803) 905-5527
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1308
SC
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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