Individual
RON CHRISTOPHER FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
404 S MAIN ST, RAEFORD, NC 28376-3223
(910) 875-5114
(910) 875-8503
Mailing address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1660
NC
Other
Enumeration date
01/03/2007
Last updated
12/20/2023
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