Individual
DR. KEITH PAWLISH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3916 E FRANKLIN BLVD STE 160B, GASTONIA, NC 28056-9220
(704) 565-0660
(704) 824-2192
Mailing address
3916 E FRANKLIN BLVD STE 160B, GASTONIA, NC 28056-9220
(910) 478-5286
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2042
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915946
—
NC
Enumeration date
08/17/2006
Last updated
08/11/2020
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