GORDON QUATLEBAUM SCOTT

COLUMBIA, SC
NPI1447387048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist Optician
(Licence: SC  352)
Enumeration Date2007-02-28
Last Update Date2007-07-09
Business Address
MR. GORDON QUATLEBAUM SCOTT OPTICIAN
1812 WASHINGTON ST
COLUMBIA, SC 29201-3549
Phone number: 803-254-9381
Mailing Address
MR. GORDON QUATLEBAUM SCOTT OPTICIAN
411 COMMERCE DR NE
COLUMBIA, SC 29223
Phone number: 803-254-9381