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Individual

MR. JEFFREY A HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
703 ROSEANNE DR, KINSTON, NC 28504-1551
(252) 527-8804
(252) 527-4379
Mailing address
703 ROSEANNE DR, KINSTON, NC 28504-1551

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1565
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0935W
BCBS
NC
05
890935W
NC
01
U56071
UPIN
NC
Enumeration date
05/20/2006
Last updated
04/18/2008
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