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Individual

DAVID R DAUGHTRY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
801 E CENTER ST, LEXINGTON, NC 27292-4401
(336) 249-8901
(336) 248-2695
Mailing address
504 E CENTER ST, LEXINGTON, NC 27292-4112
(336) 249-8901
(336) 248-2695

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2220
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5918628
NC
Enumeration date
06/22/2011
Last updated
06/27/2018
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