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Organization

VALERIE A. COLBORN, O.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VALERIE ANN COLBORN O.D. (PRESIDENT)
(910) 893-4141
Entity
Organization

Contact information

Practice address
1023 S. MAIN STREET, LILLINGTON, NC 27546-0096
(910) 893-4141
Mailing address
PO BOX 96, 1023 S. MAIN STREET, LILLINGTON, NC 27546-0096
(910) 893-4141

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0912P
BCBS
NC
05
890902N
NC
Enumeration date
04/11/2007
Last updated
10/16/2008
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