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Contact Information

RUFUS B. ANTLEY, OD
149 N. MAIN ST
WAGENER, SC29164
 Phone: 803-564-6728
 Fax: 803-564-6750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RUFUS B ANTLEY OD · (Female)

NPI # 1124103536
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 433
  • SC Medicaid DA9844
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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