Organization
METROLINA EYE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE GOVE (ASST. PRACTICE ADMINISTRATOR)
(704) 774-1180
Entity
Organization
Contact information
Practice address
6237 CAROLINA COMMONS DR, SUITE 300, INDIAN LAND, SC 29707-6014
(804) 547-3937
Mailing address
630 COMFORT LN, SUITE E, MONROE, NC 28112-6199
(704) 289-5455
(704) 291-2207
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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