Most Relevant Information
Provider Data
| NPI Number: | 1003056656 |
| Provider Name: | BETTINA L GARY OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 1544 |
Most Important Dates
| Enumeration Date: | 02/23/2009 |
| Last Updated: | 10/06/2009 |
Provider Practice Location
7539 GARNERS FERRY RD
COLUMBIA
SC
292092627
Practice Location Phone/Fax
| Phone: | 8037799313 |
| Fax: | 8037799551 |
Provider Mailing Location
7539 GARNERS FERRY RD
COLUMBIA
SC
292092627
Provider Mailing Phone/Fax
| Phone: | 8037799313 |
| Fax: | 8037799551 |