Individual
KAREN ANN PUTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
4920 CENTRE POINTE DR, N CHARLESTON, SC 29418-6927
(843) 740-9191
(724) 740-9172
Mailing address
4920 CENTRE POINTE DR, N CHARLESTON, SC 29418-6927
(843) 740-9191
(724) 740-9172
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
141224
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141224
—
SC
Enumeration date
06/22/2022
Last updated
06/22/2022
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