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Individual

JERD WATTS POSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1651 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 650-2400
(843) 650-2525
Mailing address
PO BOX 15790, SURFSIDE BEACH, SC 29587-5790
(843) 650-2400
(843) 650-2525

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
694
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DO6946
SC
Enumeration date
06/01/2005
Last updated
01/02/2008
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