Individual
DR. COURTNEY DRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1654
SC
152W00000X
Optometrist
Primary
2236
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639452501
NIP
NC
Enumeration date
09/27/2011
Last updated
10/15/2014
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