Search › South Carolina › 152W00000X
Justine Petty, O.D
NPI 1740592237 · on the registry since 2010
Practice
- Address
- 121 Lucy Ln
Columbia, SC 29229 - Phone
- (803) 217-2550
- Fax
- (803) 217-2548
- Organisation at this address
- Sansbury Vision Services Llc
Aeg South Carolina Professional PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WC0802X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina