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Individual

MR. PAUL T ROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
111 SEACHASE DR, NAGS HEAD, NC 27959
(252) 441-5911
(252) 480-3899
Mailing address
PO BOX 1077, 101 MARK DR, EDENTON, NC 27932-1077
(252) 482-7471
(252) 482-5465

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1605
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0978A
BC
05
890978A
NC
Enumeration date
04/25/2006
Last updated
12/03/2007
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