Organization
JAMES KENT DOUB OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KENT DOUB OD (PRESIDENT)
(336) 722-2042
Entity
Organization
Contact information
Practice address
2804 REYNOLDA RD, WINSTON SALEM, NC 27106-3102
(336) 722-2041
(336) 777-8842
Mailing address
2804 REYNOLDA RD, WINSTON SALEM, NC 27106-3102
(336) 722-2041
(336) 777-8842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916244
—
NC
Enumeration date
02/20/2010
Last updated
11/02/2011
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