Individual
DR. MARK R. PHEBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
843 N CENTER ST, STATESVILLE, NC 28677-3222
(704) 878-2660
Mailing address
843 N CENTER ST, STATESVILLE, NC 28677-3222
(704) 878-2660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2419
NC
Other
Enumeration date
09/30/2013
Last updated
09/21/2016
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