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Organization

SCOTT W. NEBEL, OD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT WILLIAM NEBEL OD (MEMBER/ORGANIZER)
(724) 494-5480
Entity
Organization

Contact information

Practice address
169 NORMAN STATION BLVD, MOORESVILLE, NC 28117-6396
(704) 664-5238
Mailing address
1401 COOPERSHILL DR, UNIT 109, RALEIGH, NC 27604-4524
(724) 494-5480

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2185
NC

Other

Enumeration date
11/26/2012
Last updated
11/26/2012
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