person
Mr. Jackie Fitzgerald Key II, ABOC,NCLEC,LDO
NPI 1194454413

Jackie Fitzgerald Key II is a Optician based in North Augusta, SC and is specialized in Optician. Jackie Fitzgerald Key II practices in North Augusta, SC and has the professional credentials of ABOC,NCLEC,LDO. The NPI Number for Jackie Fitzgerald Key II is 1194454413 and holds a License No. 1173 (South Carolina).

The current practice location address for Jackie Fitzgerald Key II is 1041 Edgefield Rd, North Augusta, SC and can be reached out via phone at 803-613-3087 and via fax at 803-202-7293.

Location: 1041 Edgefield Rd, North Augusta, SC, 29860-9279
person
Provider Profile Details
NPI Number
1194454413
Provider Name
Jackie Fitzgerald Key II
Credential
ABOC,NCLEC,LDO
Provider Entity Type
Individual
Gender
Male
Address
1041 Edgefield Rd, North Augusta, SC, 29860-9279
Phone Number
803-613-3087
Fax Number
803-202-7293
Provider Enumeration Date
06/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1041 Edgefield Rd
City
State
Zip
29860-9279
Phone Number
803-613-3087
Fax Number
803-202-7293
person
Provider Business Mailing Address Details
Address
1041 Edgefield Rd
City
State
Zip
29860-9279
Phone Number
803-613-3087
Fax Number
803-202-7293
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1173 (South Carolina)
Definition
Definition to come...
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