Organization
RETINA INSTITUTE OF NORTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FOGEL M.D. (OWNER)
(919) 787-8555
Entity
Organization
Contact information
Practice address
1535 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9472
(919) 787-8555
(919) 787-8112
Mailing address
2605 BLUE RIDGE RD, SUITE 220, RALEIGH, NC 27607-6475
(919) 787-8555
(919) 787-8112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200600726
NC
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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