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Individual

MR. WADE EDWARD LIGON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED OPTICIAN

Contact information

Practice address
7520 GARNERS FERRY RD, COLUMBIA, SC 29209-2628
(803) 783-8348
(803) 783-0715
Mailing address
3253 BAGNAL DR, COLUMBIA, SC 29204-3425
(803) 665-8341
(803) 783-0715

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
217
SC

Other

Enumeration date
06/25/2022
Last updated
06/25/2022
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