person
Theresa Randall
NPI 1356072011

Theresa Randall is a Optician based in North Augusta, SC and is specialized in Optician. Theresa Randall practices in North Augusta, SC. The NPI Number for Theresa Randall is 1356072011 and holds a License No. 678 (South Carolina).

The current practice location address for Theresa Randall is 1201 Knox Ave, North Augusta, SC and can be reached out via phone at 803-202-0182 and via fax at 803-202-0275.

Location: 1201 Knox Ave, North Augusta, SC, 29841-4056
person
Provider Profile Details
NPI Number
1356072011
Provider Name
Theresa Randall
Credential
Provider Entity Type
Individual
Gender
Female
Address
1201 Knox Ave, North Augusta, SC, 29841-4056
Phone Number
803-202-0182
Fax Number
803-202-0275
Provider Enumeration Date
06/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 Knox Ave
City
State
Zip
29841-4056
Phone Number
803-202-0182
Fax Number
803-202-0275
person
Provider Business Mailing Address Details
Address
1201 Knox Ave
City
State
Zip
29841-4056
Phone Number
803-202-0182
Fax Number
803-202-0275
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
678 (South Carolina)
Definition
Definition to come...
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