Individual
MR. JERRY CURTIS ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN PRESIDENT O
Contact information
Practice address
2124 LANGHORNE ROAD, LYNCHBURG, VA 24501-1424
(434) 845-6120
(434) 845-6120
Mailing address
2124 LANGHORNE ROAD, LYNCHBURG, VA 24501-1424
(434) 845-6120
(434) 845-6120
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
433
VA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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