Individual
DR. JULIANNE STUCK KLECKLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
600 KNOX ABBOTT DR, CAYCE, SC 29033-4127
(803) 794-4444
(803) 794-2085
Mailing address
600 KNOX ABBOTT DR, CAYCE, SC 29033-4127
(803) 794-4444
(803) 794-2085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2896
MN
152W00000X
Optometrist
Primary
751
SC
152W00000X
Optometrist
OPT001033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D07516
—
SC
Enumeration date
09/13/2005
Last updated
07/08/2007
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