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Organization

NORTHEAST EYE CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD S GABLE MD (OWNER)
(704) 786-2015
Entity
Organization

Contact information

Practice address
33 LAKE CONCORD NE, CONCORD, NC 28025-3015
(704) 786-2015
(704) 788-3993
Mailing address
33 LAKE CONCORD RD NE, CONCORD, NC 28025-3015
(704) 786-2015
(704) 788-3993

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01231
BCBS
NC
05
89-01231
NC
Enumeration date
07/01/2006
Last updated
03/17/2008
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