Individual
ANNE MARTIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 S LAKE DR, LEXINGTON, SC 29073-8102
(803) 957-1839
(803) 957-1875
Mailing address
1780 S LAKE DR, LEXINGTON, SC 29073-8102
(803) 957-1839
(803) 957-1875
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
667
SC
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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