Organization
PIEDMONT EYE SURGICAL AND LASER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY R BEVIS MD (PRESIDENT)
(336) 854-4441
Entity
Organization
Contact information
Practice address
1002 N CHURCH ST, SUITE 200, GREENSBORO, NC 27401-1439
(336) 854-4441
(336) 854-7883
Mailing address
1002 N CHURCH ST, SUITE 200, GREENSBORO, NC 27401-1439
(336) 854-4441
(336) 854-7883
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200600935
NC
Other
Enumeration date
10/28/2008
Last updated
12/30/2008
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