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Individual

DR. MONIE B CLIFTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
439 CHANNEL ROAD, SUITE #103, LAKE WYLIE, SC 29710
(803) 746-7711
(803) 746-7189
Mailing address
439 CHANNEL ROAD, SUITE #103, LAKE WYLIE, SC 29710
(803) 746-7711
(803) 746-7189

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1447
SC
152W00000X
Optometrist
2005000535
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SC1447
EYEMED VISION
SC
Enumeration date
08/14/2006
Last updated
02/26/2013
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