Individual
MARY OGLESBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
541 SEABOARD ST, MYRTLE BEACH, SC 29577-9733
(843) 448-5791
(843) 448-2992
Mailing address
541 SEABOARD ST, MYRTLE BEACH, SC 29577-9733
(843) 448-5791
(843) 448-2992
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1230
SC
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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