Individual
MR. GERARD KEVIN BLANCHARD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
2795 NORTH RD, ORANGEBURG, SC 29118-2806
(803) 533-1622
(803) 533-4335
Mailing address
2795 NORTH RD, ORANGEBURG, SC 29118-2806
(803) 533-1622
(803) 533-4335
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
796
SC
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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