Individual
DR. KAITLYN ROSE CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3618 SUNSET BLVD STE A, WEST COLUMBIA, SC 29169-3046
(803) 866-4404
Mailing address
514 JAMISON CIR, WEST COLUMBIA, SC 29169-4104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2500
SC
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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