Organization
C. MARK BRITTAIN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD MARK BRITTAIN (OWNER DOCTOR)
(704) 633-8975
Entity
Organization
Contact information
Practice address
644 STATESVILLE BLVD STE 3, SALISBURY, NC 28144-2281
(704) 633-8975
(704) 633-9160
Mailing address
644 STATESVILLE BLVD STE 3, SALISBURY, NC 28144-2281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
200001358217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890131Q
—
NC
05
—
8909108
—
NC
Enumeration date
04/26/2007
Last updated
02/02/2009
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