Individual
KRISTIN ELIZABETH GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCLEC,ABO
Contact information
Practice address
365 W WESMARK BLVD, SUMTER, SC 29150-1987
(803) 905-8047
(803) 905-8090
Mailing address
365 W WESMARK BLVD, SUMTER, SC 29150-1987
(803) 905-8047
(803) 905-8090
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1210
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801945019
—
SC
Enumeration date
01/08/2019
Last updated
01/08/2019
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