Individual
BENJAMIN CARROLL POOVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7373 PEPPERS FERRY BLVD, FAIRLAWN, VA 24141-8857
(540) 731-4090
(540) 731-4089
Mailing address
7373 PEPPERS FERRY BLVD, FAIRLAWN, VA 24141-8857
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004468
VA
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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