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Individual

MICHAEL JUDE SOWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2145 HENDERSONVILLE RD, STE D, ARDEN, NC 28704-9724
(828) 681-8000
(828) 681-0990
Mailing address
2145 HENDERSONVILLE RD, STE D, ARDEN, NC 28704-9724
(828) 681-8000
(828) 681-0990

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1243
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0929G
BCBS
NC
01
2271716
UNITED HEALTHCARE
NC
05
890929G
NC
01
P00159332
RAILROAD MEDICARE
NC
Enumeration date
06/21/2005
Last updated
11/12/2008
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