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Individual

DR. KENNETH MACK NASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O D

Contact information

Practice address
1001 S MAIN ST, GREENWOOD, SC 29646-3230
(864) 388-2020
(864) 229-5573
Mailing address
1001 S MAIN ST, PO BOX 1035, GREENWOOD, SC 29646-3230
(864) 388-2020
(864) 229-5573

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
553
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D05536
SC
Enumeration date
04/08/2006
Last updated
11/27/2007
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