Carolina Glaucoma PA
Ophthalmology in Wilmington, NC. Organization (NPI-2).
NPI number1104091545
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1104091545
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Glaucoma PA
- Organization subpart
- No
- Enumeration date
- Apr 28, 2008
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 9700718 | NC | Yes |
Practice location
1907 S 17th St Ste 3Wilmington, NC 28401-6656
Phone 910-341-0011 · Fax 910-341-0012
Mailing address
1907 S 17th StreetSuite 3
Wilmington, NC 28401-6656
Phone 910-341-0011 · Fax 910-341-0012
Other practice locations
14 Doctors Cir Ste 1
Supply, NC 28462-4088
Supply, NC 28462-4088
Phone 910-341-0011 · Fax 910-341-0012
Authorized official
Mary Elizabeth Price
President
9103410011
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