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Individual

MRS. SALLIE MITCHELL WAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD PC

Contact information

Practice address
515 N SPENCE AVE, GOLDSBORO, NC 27534
(919) 778-7110
(919) 778-6057
Mailing address
515 N SPENCE AVE, GOLDSBORO, NC 27534
(919) 778-7110
(919) 778-6057

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1961
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
899024C
NC
01
9024C
BCBSNC
NC
01
DA3706
MEDICARE RAILROAD
NC
Enumeration date
06/28/2006
Last updated
08/16/2011
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