Individual
ER ZEPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 HARBISON BLVD, COLUMBIA, SC 29212-2248
(803) 732-6230
Mailing address
360 HARBISON BLVD, COLUMBIA, SC 29212-2248
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1191
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191
—
SC
Enumeration date
06/28/2022
Last updated
06/28/2022
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