Individual
DR. JILL M SCULLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1118 FALLS RD, ROCKY MOUNT, NC 27804-4406
(252) 544-9296
(833) 658-2615
Mailing address
1118 FALLS RD, ROCKY MOUNT, NC 27804-4406
(910) 612-8952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2173
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913404
—
NC
Enumeration date
10/06/2009
Last updated
07/09/2019
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