Individual
DR. MICHELLE L SALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1340 N MAIN ST, FUQUAY VARINA, NC 27526-2617
(919) 552-3181
(919) 552-0197
Mailing address
1340 N MAIN ST, FUQUAY VARINA, NC 27526-2617
(919) 552-3181
(919) 552-0197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1874
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093MJ
BCBS
NC
05
—
89093MJ
—
NC
Enumeration date
05/11/2006
Last updated
01/11/2012
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