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Contact Information

AUGUST M WALLACE ENTERPRISES, LLC
805 HIGHWAY 9 BYP W
LANCASTER, SC29720
 Phone: 803-286-4836
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for AUGUST M WALLACE ENTERPRISES LLC · (Female)

NPI # 1114220738
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2010
Last updated 12/21/2010 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 1483
  • SC Medicaid D14839
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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