Organization
CAROLINA EYE CARE PROFESSIONALS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANETTE GRACE BAROWSKY (PRACTICE ADMINISTRATOR)
(910) 592-5379
Entity
Organization
Contact information
Practice address
4311C LUDGATE ST, LUMBERTON, NC 28358-2460
(910) 739-0606
(910) 739-8507
Mailing address
340A NORTHEAST BLVD, JORDAN SHOPPING CENTER, CLINTON, NC 28328-2424
(910) 592-5379
(910) 592-5353
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
200001330969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900602
—
NC
05
—
Q01521
—
SC
Enumeration date
04/12/2007
Last updated
10/01/2009
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