Individual
DR. THOMAS J HAVILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PC
Contact information
Practice address
200 PEACHWOOD CENTRE DR, SPARTANBURG, SC 29301-5348
(864) 574-9661
Mailing address
813 MONTCLAIR CT, SPARTANBURG, SC 29301-5348
(864) 574-6727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC775
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D07758
—
SC
Enumeration date
12/18/2006
Last updated
06/13/2011
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