Individual
PETER VAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2301 DAVE LYLE BLVD, SUITE 197, ROCK HILL, SC 29730-5289
(803) 329-6464
Mailing address
2301 DAVE LYLE BLVD, SUITE 197, ROCK HILL, SC 29730-5289
(803) 329-6464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1856
SC
Other
Enumeration date
08/08/2014
Last updated
05/05/2015
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