Individual
CORY THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
232 CHERRY RD S STE 120, ROCK HILL, SC 29732-3413
(803) 366-3937
(803) 366-3967
Mailing address
232 CHERRY RD S STE 120, ROCK HILL, SC 29732-3413
(803) 366-3937
(803) 366-3967
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
740
SC
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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