NPI 1104635416

Jah'Rena Ebonae Williams, BAABOLDO

Practitioner Optician Columbia, SC

Practice location

Address: 10060 Two Notch Rd, Columbia, SC 29223-4396
Phone: (803) 419-6240
Fax: (803) 419-6742

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1460 (SC)

Other Technician/Technologist providers in South Carolina →

Registry record

NPI: 1104635416
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jan 2025
Record last updated: 7 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.