| |
725 Highland Oaks Dr Ste 101, Winston Salem, NC 27103-7109 | |
(336) 659-8180 | |
(336) 659-8363 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 725 Highland Oaks Dr Ste 101, Winston Salem, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578124343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2170 Midland Rd, Southern Pines, NC 28387-2927 Ph: () - | 725 Highland Oaks Dr Ste 101, Winston Salem, NC 27103-7109 Ph: (336) 659-8180 |