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Individual

DR. DENNIS BLAIR HARROLD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
819 TIFFANY BLVD, ROCKY MOUNT, NC 27804-1812
(252) 972-2020
(252) 977-7241
Mailing address
2325 SUNSET AVE, ROCKY MOUNT, NC 27804-2529
(252) 451-5300
(252) 451-5330

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0854
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09364
BCBSNC INDIVIDUAL NUMBER
NC
Enumeration date
06/13/2006
Last updated
07/08/2007
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