Individual
DR. JAMES W FRESHWATER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6270 TOWNCENTER DRIVE, SUITE 300, CLEMMONS, NC 27012-9376
(336) 712-4733
(336) 712-4704
Mailing address
6270 TOWNCENTER DRIVE, SUITE 300, CLEMMONS, NC 27012-9376
(336) 712-4733
(336) 712-4704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255499737
NPI JAMES FRESHWATER, O.D
NC
01
—
1922148840
NPI TIMOTHY JAMESON, O.D.
NC
Enumeration date
12/05/2006
Last updated
09/10/2012
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