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Individual

MR. JOHN G OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
408 8TH ST, NORTH WILKESBORO, NC 28659-4167
(336) 838-5121
(336) 667-5756
Mailing address
PO BOX 636, NORTH WILKESBORO, NC 28659-0636
(336) 838-5121
(336) 667-5756

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24024
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64063
BCBS
05
8964063
NC
Enumeration date
11/02/2005
Last updated
12/07/2009
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