Individual
DR. GARY ALFRED WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD OPTOMETRIST
Contact information
Practice address
1620 BROWNING RD, COLUMBIA, SC 29210-6924
(803) 732-4099
(803) 227-8992
Mailing address
1620 BROWNING RD, COLUMBIA, SC 29210-6924
(803) 732-4099
(803) 227-8992
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
595
MT
152WC0802X
Corneal and Contact Management Optometrist
Primary
595
MT
Other
Enumeration date
05/11/2006
Last updated
08/20/2014
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