Individual
NEHEMIAH SALEEM MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 HARBISON BLVD, COLUMBIA, SC 29212-2248
(803) 732-6230
Mailing address
360 HARBISON BLVD, COLUMBIA, SC 29212-2248
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1429
SC
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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