Individual
MR. JOSEPH I SIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2120 STATESVILLE BLVD, SALISBURY, NC 28147-1412
(704) 636-0559
Mailing address
3610 KELWAY AVE, CHARLOTTE, NC 28210-4728
(704) 554-7394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1673
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890916L
—
NC
Enumeration date
07/07/2005
Last updated
07/24/2008
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