Individual
MR. ROGER DWIGHT THOMAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2648 LEE AVE, SANFORD, NC 27332-5950
(919) 775-5221
(919) 775-7655
Mailing address
2648 LEE AVE, SANFORD, NC 27332-5950
(919) 775-5221
(919) 775-7655
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0710
NC
Other
Enumeration date
03/05/2007
Last updated
02/20/2008
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