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NPI Code Detail

MEDICARE: DR. EMILY DIANNA HOWARD OD

MEDICARE:  DR. EMILY DIANNA HOWARD  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2363SC
2152W00000XOptometrist2699NC

General Provider Information

NPI Number : 1962123612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY DIANNA HOWARD OD
Provider Business Mailing Address
First Line : 127 KING CHARLES RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-2239
Country : US
Telephone Number : 803-521-7987
Fax Number :
Provider Business Practice Location Address
First Line : 11030 GOLF LINKS DR STE 204
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-8047
Country : US
Telephone Number : 704-943-5110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2022
Last Update Date : 09/09/2022

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Directions to “ DR. EMILY DIANNA HOWARD OD” Practice Location

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