Individual
WILLIAM RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2025 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5663
(919) 620-4467
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 620-4915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909740
—
NC
Enumeration date
12/19/2006
Last updated
06/17/2008
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