Individual
LLOYD W NETHERCUTT JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
701 BULTMAN DRIVE, SUMTER, SC 29150
(803) 773-4723
(803) 775-5211
Mailing address
PO BOX 5721, COLUMBIA, SC 29250
(803) 779-2273
(803) 799-0854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
615
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20005987
SELECT HEALTH OF SC
SC
05
—
D06152
—
SC
Enumeration date
06/22/2006
Last updated
07/08/2007
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