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
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