Individual
SHIVANI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9700 REDSTONE DR STE 300, INDIAN LAND, SC 29707-5409
(803) 548-3937
Mailing address
5020 WOODVIEW LN, WEDDINGTON, NC 28104-8057
(864) 940-6466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2247
SC
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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