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Individual

MEGAN WALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2060 CHARLIE HALL BLVD STE 201, CHARLESTON, SC 29414-6066
(843) 722-2010
(843) 723-3914
Mailing address
2060 CHARLIE HALL BLVD STE 201, CHARLESTON, SC 29414-6066
(843) 722-2010
(843) 723-3914

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003726A
IN
152W00000X
Optometrist
Primary
OPT.1877 OPT
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DA9628
SC
Enumeration date
06/07/2012
Last updated
01/29/2016
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