Individual
DR. TIMOTHY RAYMOND POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4822 VALLEY VIEW BLVD NW STE C, ROANOKE, VA 24012-2046
(540) 563-8279
Mailing address
511 ROANOKE BLVD, SUITE 1, SALEM, VA 24153-5032
(540) 797-2780
(703) 782-0220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001363
VA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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