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Individual

PHILIP TROLLINGER BELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
925 S MAIN ST, BURLINGTON, NC 27215-5756
(336) 228-8369
(336) 228-0869
Mailing address
PO BOX 2095, BURLINGTON, NC 27216-2095
(336) 228-8369
(336) 228-0869

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1112
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56-1860763
FED. TAX ID. #
NC
05
8909102
NC
Enumeration date
03/16/2007
Last updated
06/26/2014
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