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Individual

DR. CHARLES L BALCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
579 CROSS CREEK MALL, FAYETTEVILLE, NC 28303-7245
(910) 487-2900
(910) 860-1954
Mailing address
579 CROSS CREEK MALL, FAYETTEVILLE, NC 28303-7245
(910) 487-2900
(910) 860-1954

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1535
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09507
BCBSNC PROVIDER ID
NC
05
8909507
NC
Enumeration date
06/13/2006
Last updated
02/15/2008
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