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Individual

DR. JOHN L BRINKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
360 HARBISON BLVD, COLUMBIA, SC 29212-2248
(803) 732-8663
Mailing address
119 LATONEA DR, COLUMBIA, SC 29210-7572
(803) 798-8642
(803) 798-0422

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
656
SC
152WV0400X
Vision Therapy Optometrist
656
SC
156FX1800X
Optician
656
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253936
SC
Enumeration date
04/17/2006
Last updated
03/11/2014
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