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Individual

DR. WANDA THREADGILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
700 HAYWOOD RD, JCPENNEY OPTICAL, GREENVILLE, SC 29607-2781
(864) 297-7445
Mailing address
1 TALLIN CT, GREENVILLE, SC 29607-6405
(864) 238-9103

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1067
SC

Other

Enumeration date
02/23/2007
Last updated
03/17/2018
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