Organization
CARLYLE DUKES HAYWOOD JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLYLE HAYWOOD (OWNER)
(910) 997-7500
Entity
Organization
Contact information
Practice address
211 W BROAD AVE, ROCKINGHAM, NC 28379-3529
(910) 997-7500
Mailing address
211 W BROAD AVE, ROCKINGHAM, NC 28379-3529
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013H5
BCBS OF NC
NC
01
—
56162
MEDCOST
NC
05
—
890908G
—
NC
Enumeration date
02/05/2007
Last updated
08/22/2020
Update your record
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