Organization
CAROLINA GLAUCOMA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH PRICE M.D. (PRESIDENT)
(910) 341-0011
Entity
Organization
Contact information
Practice address
1907 S 17TH ST STE 3, WILMINGTON, NC 28401-6656
(910) 341-0011
(910) 341-0012
Mailing address
1907 S 17TH STREET, SUITE 3, WILMINGTON, NC 28401
(910) 341-0011
(910) 341-0012
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9700718
NC
Other
Enumeration date
04/16/2008
Last updated
03/17/2018
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