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129 E Ferrell St, South Hill, VA 23970-2101 | |
(464) 447-3220 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 129 E Ferrell St, South Hill, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003235508 | NPI | - | NPPES |
1902857675 | Other | NC | PRIMARY NPI |
Provider Name | Alice A Lin |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1336276427 PECOS PAC ID: 4981795275 Enrollment ID: I20091008000494 |
Provider Name | James Anthony Wrzosek |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891929618 PECOS PAC ID: 0840433066 Enrollment ID: I20140908002764 |
Provider Name | Adam Jacob Bennett |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295184539 PECOS PAC ID: 4486949450 Enrollment ID: I20220217000217 |
Mailing Address | Practice Location Address |
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3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 Ph: (919) 876-2427 | 129 E Ferrell St, South Hill, VA 23970-2101 Ph: (464) 447-3220 |