Individual
CURTIS MARKEE THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2700 REYNOLDA RD APT 1302, WINSTON SALEM, NC 27106-3847
(336) 749-7833
Mailing address
125 JONESTOWN RD, WINSTON SALEM, NC 27104-4616
(336) 473-7069
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2110
NC
Other
Enumeration date
10/12/2017
Last updated
03/17/2018
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