STEPHEN GOODWIN

ORANGEBURG, SC
NPI1952387490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: SC  584)
Enumeration Date2005-12-16
Last Update Date2007-07-08
Business Address
-- STEPHEN GOODWIN Optician
1230 AMELIA ST
ORANGEBURG, SC 29115-5478
Phone number: 803-531-0061
Mailing Address
-- STEPHEN GOODWIN Optician
1230 AMELIA ST
ORANGEBURG, SC 29115-5478
Phone number: 803-531-0061