Individual
WAVELY LEE SLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
160 BIENVILLE DR, FAYETTEVILLE, NC 28311-9335
(910) 488-0598
(910) 488-0598
Mailing address
160 BIENVILLE DR, FAYETTEVILLE, NC 28311-9335
(910) 488-0598
(910) 488-0598
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
826
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8801882
—
NC
Enumeration date
10/12/2007
Last updated
10/12/2007
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