Individual
MARION SHERILL GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D, P.A.
Contact information
Practice address
110 E EDWARDS ST, PRINCETON, NC 27569-7279
(919) 936-2020
(919) 936-2444
Mailing address
PO BOX 557, PRINCETON, NC 27569-0557
(919) 936-2020
(919) 936-2444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1046
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09324
BC/BS OF NC
NC
05
—
8909324
—
NC
Enumeration date
07/05/2006
Last updated
03/19/2024
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