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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
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