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Individual

DR. REENA MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
103 SALUDA RIDGE CT, WEST COLUMBIA, SC 29169
(803) 434-2020
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1993
SC
152W00000X
Optometrist
5357/T2265
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D19336
SC
Enumeration date
07/07/2006
Last updated
12/05/2019
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