Individual
SUSAN BAILEY TRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
4310 ENTERPRISE DR STE I, WINSTON SALEM, NC 27106-3260
(336) 757-1120
(336) 757-1202
Mailing address
4310 ENTERPRISE DR STE I, WINSTON SALEM, NC 27106-3260
(336) 757-1120
(336) 757-1202
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
1638
NC
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
About Stedi
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