Organization
JUAWANA C HALL OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAWANA COLEMAN HALL OD (OWNER)
(336) 253-5454
Entity
Organization
Contact information
Practice address
117 PICARDY CT, KERNERSVILLE, NC 27284-6529
(336) 253-5454
Mailing address
PO BOX 7756, ROCKY MOUNT, NC 27804-0756
(336) 253-5454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2000
NC
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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