Individual
DAN S. WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 COMMERCE DR NE, COLUMBIA, SC 29223-4583
(803) 254-9381
Mailing address
919 SESSIONS RD, ELGIN, SC 29045-8986
(803) 608-2503
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
866
SC
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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