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Individual

DR. GARY LEE MANCIL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1601 BRENNER AVE, HEFNER VA MEDICAL CENTER (11-I), SALISBURY, NC 28144-2515
(704) 638-9000
(704) 638-3868
Mailing address
630 EASTLAND LN, SALISBURY, NC 28146-8131
(704) 279-9126

Taxonomy

Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
1052
GA
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
871
TN

Other

Enumeration date
03/31/2006
Last updated
09/11/2025
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