Organization
TARA J PARNELL, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA J PARNELL O.D. (OWNER)
(910) 454-9226
Entity
Organization
Contact information
Practice address
1125 N HOWE ST, SOUTHPORT, NC 28461-3041
(910) 454-9226
(910) 454-0776
Mailing address
1125 N HOWE ST, SOUTHPORT, NC 28461-3041
(910) 454-9226
(910) 454-0776
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1721
NC
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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