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Organization

FAMILY HEALTH CENTERS OPTOMETRY MOBILE UNIT

Active
Other names
Family Health Centers Optometry Mobile Unit
Organization subpart
No

Provider details

NPI number
Authorized official
STAN WARDLAW (CEO)
(803) 531-6900
Entity
Organization

Contact information

Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
06/30/2016
Last updated
09/02/2025
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