Organization
DR. HAROLD L JENNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD L JENNINGS O.D. (PRESIDENT)
(336) 342-3159
Entity
Organization
Contact information
Practice address
1203 NORTHUP ST, REIDSVILLE, NC 27320-5511
(336) 342-3159
(336) 349-2277
Mailing address
PO BOX 367, REIDSVILLE, NC 27323-0367
(336) 342-3159
(336) 349-2277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0797
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909452
—
NC
Enumeration date
06/05/2008
Last updated
06/05/2008
Update your record
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