Organization
SOUTHEASTERN CATARACT LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RICHARD EPES M.D. (MEMBER/ORGANIZER)
(336) 282-5000
Entity
Organization
Contact information
Practice address
3312 BATTLEGROUND AVE, GREENSBORO, NC 27410-2548
(336) 282-5000
(336) 482-3778
Mailing address
PO BOX 38157, GREENSBORO, NC 27438-8157
(336) 282-5000
(336) 482-3778
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
183985
NC
Other
Enumeration date
05/16/2012
Last updated
07/05/2012
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