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Individual

DR. CHRIS RANKIN GLENDENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
201 RACINE DR, WILMINGTON, NC 28403-8702
(910) 395-6050
(910) 794-2222
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1457
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09712
BCBS PROV #
NC
01
410032674
RR MEDICARE INDIVIDUAL #
NC
01
410048188
RR MEDICARE INDIVIDUAL #
NC
05
8909712
NC
Enumeration date
04/11/2006
Last updated
11/15/2017
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