Curtis Markee Threatt, Optician
Technician/Technologist, Optician in Winston Salem, NC. Individual provider (NPI-1).
NPI number1487165833
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1487165833
- Entity type
- Individual (NPI-1)
- Name
- Curtis Markee Threatt
- Credential
- Optician
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 2110 | NC | Yes |
Practice location
2700 Reynolda Rd Apt 1302Winston Salem, NC 27106-3847
Phone 336-749-7833
Mailing address
125 Jonestown RdWinston Salem, NC 27104-4616
Phone 336-473-7069
Other practice locations
125 Jonestown Rd
Winston Salem, NC 27104-4616
Winston Salem, NC 27104-4616
Phone 336-473-7069 · Fax 336-473-7069
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